Organization · Type 2 NPI

Clinton Residential, LLC

Assisted Living Facility · Clinton, MO

NPI number 1376599605 Active

Practice location

1300 S Main St
Clinton, MO 64735-2728

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Another provider at this address

Michelle Payge Buckley, COTA/LOccupational Therapy Assistant Clinton, MO NPI 1396227286

Other assisted living facility providers in Clinton

See all in Clinton →

NPI record

NPI: 1376599605
Entity type: Organization (Type 2)
Issued: May 26, 2006
Last updated: Feb 2, 2026
Status: Active

Other names

<unavail>
Glendale Gardens Assisted Living · doing business as
Glendale Gardens Assisted Living · doing business as
Glendale Gardens Memory Care · doing business as

Authorized official

Kyle Timothy Schade
Manager
(573) 471-1113

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376599605

Clinton Residential, LLC's National Provider Identifier is 1376599605, issued on May 26, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clinton, MO. The record was last updated on Feb 2, 2026.