Organization Active NPI

Jefferson City Residential, LLC

  • Assisted Living Facility
  • Jefferson City, MO
National Provider Identifier
1598712192
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JEFFERSON CITY RESIDENTIAL, LLC
Doing business as
Westbrook Terrace
Westbrook Terrace Memory Care II
Practice address
3335 N Ten Mile Dr
Jefferson City, MO 65109-0528
Phone
(573) 635-2600
NPI assigned
May 28, 2006
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

3335 N Ten Mile Dr
Jefferson City, MO 65109-0528

Mailing address

3335 N Ten Mile Dr
Jefferson City, MO 65109-0528
Phone (573) 635-2600

Other names 2

  • Westbrook Terrace Doing business as
  • Westbrook Terrace Memory Care II 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
26D0922057Westbrook Terrace Memory Care 23335 North Ten Mile Drive, Jefferson City, MO 65109Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jefferson City Residential LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1598712192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 N TEN MILE DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090528",
            "telephone_number": "573-635-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 N TEN MILE DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090528",
            "telephone_number": "573-635-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CITY RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "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": "Westbrook Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westbrook Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westbrook Terrace Memory Care II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, 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.