Organization Active NPI

Rolla Residential, LLC

Doing business as Parkside Memory Care

  • Assisted Living Facility
  • Rolla, MO
National Provider Identifier
1558864298
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROLLA RESIDENTIAL, LLC
Doing business as
Parkside Memory Care
The Arbors at Parkside - Memory Care Assisted Living by Americare
Practice address
1700 E 10TH St
Rolla, MO 65401-4600
Phone
(573) 364-2602
NPI assigned
Mar 8, 2018
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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

1700 E 10TH St
Rolla, MO 65401-4600

Mailing address

214 N Scott St
Sikeston, MO 63801-4146
Phone (573) 471-1113

Other names 2

  • Parkside Memory Care Doing business as
  • The Arbors at Parkside - Memory Care Assisted Living by Americare 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
26D0918670Arbors at Parkside, the1700 East 10TH Street, Rolla, MO 65401Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Parkside Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 E 10th St
Rolla, MO 65401
Phone (573) 364-2602

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1558864298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N SCOTT ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014146",
            "telephone_number": "573-471-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014600",
            "telephone_number": "573-364-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLA RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "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": "Parkside Memory Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Arbors at Parkside - Memory Care Assisted Living by Americare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Arbors at Parkside - Memory Care Assisted Living by Americare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • 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.
  • 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.