ASHLAND VILLA LLC NPI 1104919125

NPI Information

  • NPI: 1104919125
  • Provider Name: ASHLAND VILLA, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • :
  • CLIA Number: 26D0907621
  • Address: 301 S HENRY CLAY BLVD
    ASHLAND, MO
    ZIP 65010
  • Phone: (573) 657-1920

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NPI Details

ASHLAND VILLA, LLC is an assisted living facility in Ashland, MO. The provider is 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. ASHLAND VILLA, LLC NPI is 1104919125. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

301 S HENRY CLAY BLVD
ASHLAND, MO
ZIP 65010-439
Phone: (573) 657-1920

The provider's authorized official is Kyle Timothy Schade .
The authorized official title is Manager and has the following contact phone number (573) 471-1113.

The CLIA number assigned to this NPI record is 26D0907621 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 11/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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