Active NPI
Jefferson City Residential, LLC
- Assisted Living Facility
- Jefferson City, MO
National Provider Identifier
1598712192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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
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
- Westbrook Terrace Memory Care II
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 |
|---|---|---|---|
| 26D0922057 | Westbrook Terrace Memory Care 2 | Certificate of waiver | Nov 12, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Jefferson City Residential LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Alzheimer Center (Dementia Center)
- Jefferson City, MO
- NPI 1164792917
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
- Jefferson City Oral and Maxillofacial Surgery, LLC
- Jefferson City Public Schools
- Jefferson City Renal Services LLC
- Jefferson City Renal Services LLC
- Jefferson City Residential, LLC
- Jefferson City Wellness & Rehabilitation LLC
- Jefferson Mo Healthcare, LLC
- Ashlee M Jenkins, MSW, LCSW
- Richard B. Jennett, M.D.
- Sarah Loveland Jennett, FNP-C
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.