Active NPI
Washington Residential, LLC
- Assisted Living Facility
- Washington, MO
National Provider Identifier
1902853575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- South Pointe Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0897268 | South Pointe Assisted Living Facility | Certificate of waiver | Jan 31, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.