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CAPE GIRARDEAU RESIDENTIAL. LLC
NPI 1003863994
Assisted Living Facility in Cape Girardeau, MO

Active since May 27, 2006CLIA 26D0910427 · Waiver
2910 BEAVER CREEK DR, CAPE GIRARDEAU, MO 63701(573) 651-0199 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Cape Girardeau Residential. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPE GIRARDEAU RESIDENTIAL. LLC (NPI 1003863994), doing business as Auburn Creek Assisted Living, is a healthcare organization registered as an assisted living facility in Cape Girardeau, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1003863994
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCAPE GIRARDEAU RESIDENTIAL. LLC
Location Address2910 BEAVER CREEK DRCape Girardeau, MO 63701-1732
Mailing Address2910 Beaver Creek DrCape Girardeau, MO 63701-1732
Phone(573) 651-0199
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1003863994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

2910 BEAVER CREEK DR, Cape Girardeau, MO 63701
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Other Names 1

Doing Business AsAuburn Creek Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0910427

Cape Girardeau Residential Care Center · Cape Girardeau, MO
Active · expires Jan 7, 2028
CLIA Number26D0910427
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorKimberly Wilcox
Laboratory Phone(573) 651-0199
Laboratory LocationCape Girardeau Residential Care Center2910 Beaver Creek Drive, Cape Girardeau, MO 63701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cape Girardeau Residential. LLC's NPI number?

The NPI number for Cape Girardeau Residential. LLC is 1003863994. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Auburn Creek Assisted Living.

Where is Cape Girardeau Residential. LLC located?

Cape Girardeau Residential. LLC is located at 2910 Beaver Creek Dr, Cape Girardeau, MO 63701. The listed phone number is (573) 651-0199.

What is Cape Girardeau Residential. LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Cape Girardeau Residential. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0910427) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cape Girardeau Residential. LLC was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.