Active NPI
Rolla Residential, LLC
Doing business as Parkside Memory Care
- Assisted Living Facility
- Rolla, MO
National Provider Identifier
1558864298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- The Arbors at Parkside - Memory Care Assisted Living by Americare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0918670 | Arbors at Parkside, the | Certificate of waiver | Aug 15, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Parkside Assisted Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Parkside Assisted Living
- Assisted Living Facility
- Rolla, MO
- NPI 1972559276
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.