Active NPI
Union Court Residential, LLC
Doing business as Willow Brooke
- Assisted Living Facility
- Union, MO
National Provider Identifier
1912954579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- UNION COURT RESIDENTIAL, LLC
- Doing business as
- Willow Brooke
Willow Brooke Assisted Living - Practice address
- 1 Potomac CT
Union, MO 63084-1113 - Phone
- (636) 583-2799
- NPI assigned
- May 28, 2006
- Last updated
- Nov 10, 2025
- 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 Schade
- Title
- Treasurer
- Phone
- (573) 471-1113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
1 Potomac CT
Union, MO 63084-1113
Mailing address
1 Potomac CT
Union, MO 63084-1113
Phone (636) 583-2799
Other names 2
- Willow Brooke
- Willow Brooke 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 |
|---|---|---|---|
| 26D0878851 | Willow Brooke | Certificate of waiver | Nov 7, 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": "1762732800000",
"number": "1912954579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 POTOMAC CT",
"city": "UNION",
"state": "MO",
"postal_code": "630841113",
"telephone_number": "636-583-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 POTOMAC CT",
"city": "UNION",
"state": "MO",
"postal_code": "630841113",
"telephone_number": "636-583-2799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION COURT RESIDENTIAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "SCHADE",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "TREASURER",
"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": "Willow Brooke",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Willow Brooke",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Willow Brooke Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Union, MO
- Jacob Austin Travis, OD
- Ashley D Tucker, LPN
- Toni Louise Turigliatto, LPC
- Union Community Ambulance District
- Union Community Ambulance District (Union Ambulance District)
- Union Professional Hearing Center, LLC (Professional Hearing Center)
- Union R-XI School Disrtict
- Union R-XI School District
- Mickayla Vangyia, LMSW
- Paige Vanlaere, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.