Jackson Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JACKSON RESIDENTIAL, LLC

Practice address

108 Physicians Dr
Jackson, TN 38305-6012

Phone

(731) 664-6099

NPI assigned

May 28, 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

• Alexandria Place Doing business as
• Alexandria Place 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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1821045576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056012",
            "telephone_number": "731-664-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "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": "Alexandria Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alexandria Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alexandria Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackson Ophthalmology ASC LLC
• Jackson Pathology Group a Professional Corporation
• Jackson Pulmonary Care, PA
• Jackson Radiology Associates PA
• Jackson Regional Womens Center
• Jackson Senior Services, LLC
• Jackson Spa LLC
• Jackson Surgical Associates. PA
• Jackson Tennessee Hospital Company LLC
• Jackson Transit Authority

• All providers in Jackson, TN
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.