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

Lebanon Residential, LLC

Organization Assisted Living Facility · NPI 1033165766

Lebanon Residential, LLC is an Assisted Living Facility in Lebanon, Missouri. Registered with an NPI since 2006.

In the registry since
2006
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

1500 Lynn St
Lebanon, MO 65536-4409
Phone: (417) 532-9793
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1033165766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Schade — Manager · (573) 471-1113
Other names Northridge Place Assisted Living
NPI enumeratedMay 25, 2006
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address1500 Lynn St, Lebanon, MO 65536-3828

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