Organization Active NPI

Covington Residential, LLC

Doing business as Parkway Cove Assisted Living

  • Assisted Living Facility
  • Covington, TN
National Provider Identifier
1871540930
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COVINGTON RESIDENTIAL, LLC
Doing business as
Parkway Cove Assisted Living
Parkway Cove Memory Care
Practice address
791 Bert Johnston Ave
Covington, TN 38019-2414
Phone
(901) 475-9020
NPI assigned
May 27, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 NU Primary

Addresses

Primary practice location

791 Bert Johnston Ave
Covington, TN 38019-2414

Mailing address

791 Bert Johnston Ave
Covington, TN 38019-2414

Other names 2

  • Parkway Cove Assisted Living Doing business as
  • Parkway Cove Memory Care 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
44D0943185Covington Residential LLC791 Bert Johnston Ave, Covington, TN 38019Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

791 Bert Johnston Ave
Covington, TN 38019
Phone (901) 475-9020

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1871540930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 BERT JOHNSTON AVE",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 BERT JOHNSTON AVE",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192414",
            "telephone_number": "901-475-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Cove Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkway Cove Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkway Cove Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.