Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinton Gran Villa LLC

Organization Assisted Living Facility · NPI 1023283850

Clinton Gran Villa LLC is an Assisted Living Facility in Clinton, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

509 W Rogers St
Clinton, MO 64735-2548
Phone: (660) 885-9770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X (MO)

Record details

NPI number1023283850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Schade — Manager · (573) 471-1113
Other names Jefferson Gardens Assisted Living
NPI enumeratedApril 23, 2008
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address509 W Rogers St, Clinton, MO 64735-2548

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