Rolla Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROLLA RESIDENTIAL, LLC

Practice address

2100 Parkside Ave
Rolla, MO 65401-5472

Phone

(573) 308-0384

Fax

(573) 308-1644

NPI assigned

May 26, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Parkside Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Parkside Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rolla Residential, LLC

  • Assisted Living Facility
  • Rolla, MO
  • NPI 1558864298
  NPD tax ID

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1972559276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PARKSIDE AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654015472",
            "telephone_number": "573-308-0384",
            "fax_number": "573-308-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PARKSIDE AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654015472",
            "telephone_number": "573-308-0384",
            "fax_number": "573-308-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLA RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rolla Ophthalmology Associates, Inc
• Rolla Optical
• Rolla Public Schools
• Rolla Radiology Group, LLC
• Rolla Residential, LLC
• Rolla Surgical Clinic, LLC
• Rolla Urgent Care LLC
• Rolla Urgent Care, LLC
• Marie C Romer
• Romo Direct Primary Care, LLC

• Assisted Living Facility in Rolla, MO
• Providers in Rolla, MO by specialty
• Assisted Living Facility in Missouri

• 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.