Americare at Victorian Manor of Sullivan, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMERICARE AT VICTORIAN MANOR OF SULLIVAN, LLC

Doing business as

Sullivan Pointe Assisted Living
Victorian Place of Sullivan Residential Care by Americare

Practice address

1250 E Springfield Rd
Sullivan, MO 63080-1358

Phone

(573) 468-5217

NPI assigned

Dec 27, 2012

Last updated

Feb 5, 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

• Sullivan Pointe Assisted Living Doing business as
• Victorian Place of Sullivan Residential Care by Americare Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1386980068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E SPRINGFIELD RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E SPRINGFIELD RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801358",
            "telephone_number": "573-468-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE AT VICTORIAN MANOR OF SULLIVAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "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": "Sullivan Pointe Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victorian Place of Sullivan Residential Care by Americare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victorian Place of Sullivan Residential Care by Americare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ambreen Ahmed, MD
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• Rebekah Allen, DO
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• James Joseph Anthony, PT
• Trishia Dawn Antrobus
• Lindsay Nicole Arnette, DPT
• Asim Ayaz, M.D.
• Jessica Kathleen Bakula

• Assisted Living Facility in Sullivan, MO
• Providers in Sullivan, 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 5, 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.