Organization Active NPI

Union City Residential, LLC

  • Assisted Living Facility
  • Union City, TN
National Provider Identifier
1265488589
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UNION CITY RESIDENTIAL, LLC
Practice address
701 Sherrill St
Union City, TN 38261-5898
Phone
(731) 885-6992
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Timothy Schade
Title
Manager
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

701 Sherrill St
Union City, TN 38261-5898

Mailing address

701 Sherrill St
Union City, TN 38261-5898
Phone (731) 885-6992

Other names 3

  • The Etheridge House Doing business as
  • The Etheridge House Assisted Living Doing business as
  • The Etheridge House Memory Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0986269Union City Residential Care Center701 Sherrill, Union City, TN 38261Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Locations

701 Sherrill St
Union City, TN 38261
Phone (731) 599-2925

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1265488589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SHERRILL ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615898",
            "telephone_number": "731-885-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SHERRILL ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615898",
            "telephone_number": "731-885-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CITY RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Etheridge House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Etheridge House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Etheridge House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Etheridge House Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.