Organization Active NPI

Union Court Residential, LLC

Doing business as Willow Brooke

  • Assisted Living Facility
  • Union, MO
National Provider Identifier
1912954579
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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)CodeLicenseStatePrimary
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 Doing business as
  • Willow Brooke 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
26D0878851Willow Brooke1 Potomac Court, Union, MO 63084Certificate of waiverNov 7, 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": "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

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.

Verify at the official NPI Registry.