Clinton Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLINTON RESIDENTIAL, LLC

Doing business as

Glendale Gardens Assisted Living
Glendale Gardens Memory Care

Practice address

1300 S Main St
Clinton, MO 64735-2728

Phone

(660) 885-2272

NPI assigned

May 26, 2006

Last updated

Feb 2, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 2

• Glendale Gardens Assisted Living Doing business as
• Glendale Gardens Memory Care Doing business as

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1376599605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352728",
            "telephone_number": "660-885-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "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": "Glendale Gardens Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glendale Gardens Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glendale Gardens Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ella Clarkson, RBT
• Cami Clevenger, RBT
• Clinton Gran Villa LLC (Jefferson Gardens Assisted Living)
• Clinton No 1 Inc
• Clinton No 2 Inc (Adair Village)
• Clinton School District #124
• Andrew M Clooney, LMSW
• Kristine Marie Clubb, RDH
• Miriam J Colbert
• Colleton Dialysis LLC (Kansas Avenue Dialysis)

• Assisted Living Facility in Clinton, MO
• Providers in Clinton, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.