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

Teal Lake Residential, LLC

Organization Assisted Living Facility · NPI 1568419117

Teal Lake Residential, LLC is an Assisted Living Facility in Mexico, 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

1722 Huntingfield Dr
Mexico, MO 65265-3786
Phone: (573) 582-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1568419117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Schade — Manager · (573) 471-1113
Other names Teal Lake Assissted Living
NPI enumeratedMay 28, 2006
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address1722 Huntingfield Dr, Mexico, MO 65265-3802

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