Nixa Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NIXA RESIDENTIAL, LLC

Practice address

902 N Main St
Nixa, MO 65714-9384

Phone

(417) 725-0177

NPI assigned

May 27, 2006

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 2

• Bradford Court Doing business as
• Bradford Court 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

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1770530537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N MAIN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149384",
            "telephone_number": "417-725-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N MAIN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149384",
            "telephone_number": "417-725-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIXA RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "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": "Bradford Court",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bradford Court Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nixa Behavioral Services, LLC
• Nixa Counseling Center, Inc
• Nixa Dental Partners, LLC
• Nixa Family Chiropractic Inc
• Nixa R-II School District
• Nixas Main Street Chiropractic LLC
• Northland Hearing Centers, Inc.
• Landon Michael O'Steen
• Optimal Health, LLC
• Justin Pantleo

• Assisted Living Facility in Nixa, MO
• Providers in Nixa, 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 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.