Fulton Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FULTON RESIDENTIAL, LLC

Doing business as

Churchill Terrace Assisted Living

Practice address

120 N Hospital Dr
Fulton, MO 65251-2511

Phone

(573) 642-5222

NPI assigned

May 26, 2006

Last updated

Nov 10, 2025By 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 1

• Churchill Terrace Assisted Living 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

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1467408716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512511",
            "telephone_number": "573-642-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churchill Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fulton Medical Center LLC
• Fulton Medical Center LLC
• Fulton Medical Center LLC
• Fulton Medical Center LLC (Fulton Medical Clinic)
• Fulton Medical Center LLC (Fulton Medical Clinic)
• Kyle Patrick Gabrielson
• Audrey Marie Gaines
• Linda Jill Gamlin, PT, ATC
• George Garner, LCSW
• Kelsey Gash, ATC

• Assisted Living Facility in Fulton, MO
• Providers in Fulton, 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 Nov 10, 2025; 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.