Organization · Type 2 NPI

Americare at Victorian Manor of Sullivan, LLC

Assisted Living Facility · Sullivan, MO

NPI number 1386980068 Active

Practice location

1250 E Springfield Rd
Sullivan, MO 63080-1358

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.

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NPI record

NPI: 1386980068
Entity type: Organization (Type 2)
Issued: Dec 27, 2012
Last updated: Feb 5, 2026
Status: Active

Other names

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Sullivan Pointe Assisted Living · doing business as
Victorian Place of Sullivan Residential Care By Americare · doing business as
Victorian Place of Sullivan Residential Care By Americare · doing business as

Authorized official

Kyle Timothy Schade
Manager
(573) 471-1113

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About NPI 1386980068

Americare at Victorian Manor of Sullivan, LLC's National Provider Identifier is 1386980068, issued on Dec 27, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Sullivan, MO. The record was last updated on Feb 5, 2026.