Poplar Bluff Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

POPLAR BLUFF RESIDENTIAL, LLC

Doing business as

River Mist Assisted Living

Practice address

2050 W Maud St
Poplar Bluff, MO 63901-4000

Phone

(573) 686-2833

NPI assigned

May 26, 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 1

• River Mist 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

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1780630061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W MAUD ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014000",
            "telephone_number": "573-686-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W MAUD ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014000",
            "telephone_number": "573-686-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR BLUFF RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "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": "River Mist Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poplar Bluff Regional Medical Center, Inc
• Poplar Bluff Regional Medical Center, LLC (Poplar Bluff Primary Care)
• Poplar Bluff Regional Medical Center, LLC (Poplar Bluff Medical Clinic)
• Poplar Bluff Regional Medical Center, LLC (Poplar Bluff Medical Clinic)
• Poplar Bluff Regional Medical Center, LLC (Poplar Bluff Primary Care)
• Poplar Bluff School District
• Poplar Bluff School District R-1
• Kenneth Gregory Popp II, RPH
• Connie Porch
• Lindsay Porter

• Assisted Living Facility in Poplar Bluff, MO
• Providers in Poplar Bluff, 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.