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CLINTON GRAN VILLA LLC
NPI 1023283850
Assisted Living Facility in Clinton, MO

Active since April 23, 2008
509 W ROGERS ST, CLINTON, MO 64735(660) 885-9770 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinton Gran Villa Llc NPPES

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

CLINTON GRAN VILLA LLC (NPI 1023283850), doing business as Jefferson Gardens Assisted Living, is a healthcare organization registered as an assisted living facility in Clinton, Missouri and active in the NPI registry since April 2008. The organization lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1023283850
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCLINTON GRAN VILLA LLC
Location Address509 W ROGERS STClinton, MO 64735-2548
Mailing Address509 W Rogers StClinton, MO 64735-2548 · (660) 885-9770
Phone(660) 885-9770
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateApril 23, 2008
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1023283850 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.
509 W ROGERS ST, Clinton, MO 64735
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Other Names 1

Doing Business AsJefferson Gardens Assisted Living

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICALODGES, INC.
Clinic/Center (Adult Day Care)
509 W ROGERS ST
CLINTON, MO 64735
Henry County (660) 885-9770

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 Clinton Gran Villa LLC's NPI number?

The NPI number for Clinton Gran Villa LLC is 1023283850. It was assigned to this organization in the NPPES registry on April 23, 2008. The provider is doing business as Jefferson Gardens Assisted Living.

Where is Clinton Gran Villa LLC located?

Clinton Gran Villa LLC is located at 509 W Rogers St, Clinton, MO 64735. The listed phone number is (660) 885-9770.

What is Clinton Gran Villa LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Clinton Gran Villa LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.