Organization · Type 2 NPI

Jackson Residential, LLC

Assisted Living Facility · Jackson, TN

NPI number 1821045576 Active

Practice location

108 Physicians Dr
Jackson, TN 38305-6012

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.

2 other providers at this address

Melissa Hazelwood, DPTPhysical Therapist Jackson, TN NPI 1043035991
Rachel Jane Cox, OTR/L, C/NDTPhysical Rehabilitation Occupational Therapist Jackson, TN NPI 1912850348

Other assisted living facility providers in Jackson

See all in Jackson →

NPI record

NPI: 1821045576
Entity type: Organization (Type 2)
Issued: May 28, 2006
Last updated: Mar 10, 2026
Status: Active

Other names

<unavail>
Alexandria Place · doing business as
Alexandria Place · doing business as
Alexandria Place Assisted Living · 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 1821045576

Jackson Residential, LLC's National Provider Identifier is 1821045576, issued on May 28, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jackson, TN. The record was last updated on Mar 10, 2026.