Organization Active NPI

Washington Residential, LLC

  • Assisted Living Facility
  • Washington, MO
National Provider Identifier
1902853575
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WASHINGTON RESIDENTIAL, LLC
Practice address
5125 Old Highway 100
Washington, MO 63090-3855
Phone
(636) 239-0670
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 Primary

Addresses

Primary practice location

5125 Old Highway 100
Washington, MO 63090-3855

Mailing address

5125 Old Highway 100
Washington, MO 63090-3855
Phone (636) 239-0670

Other names 2

  • South Pointe Doing business as
  • South Pointe Assisted Living 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
26D0897268South Pointe Assisted Living Facility5125 Old Hwy 100, Washington, MO 63090Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory

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": "1902853575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 OLD HIGHWAY 100",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903855",
            "telephone_number": "636-239-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 OLD HIGHWAY 100",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903855",
            "telephone_number": "636-239-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON 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": "South Pointe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Pointe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Pointe Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MO

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.

Verify at the official NPI Registry.