MANCHESTER RESIDENTIAL, LLC
NPI 1073560777
Assisted Living Facility in Manchester, TN

Active since May 28, 2006CLIA 44D0962302 · Waiver
1621 MCMINNVILLE HWY, MANCHESTER, TN 37355(931) 728-0200 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 10, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Manchester Residential, Llc NPPES

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

MANCHESTER RESIDENTIAL, LLC (NPI 1073560777), doing business as Autumn Oaks, is a healthcare organization registered as an assisted living facility in Manchester, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1073560777
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMANCHESTER RESIDENTIAL, LLC
Location Address1621 MCMINNVILLE HWYManchester, TN 37355-3179
Mailing Address1621 Mcminnville HwyManchester, TN 37355-3179 · (931) 728-0200
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateMay 28, 2006
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1073560777 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.
1621 MCMINNVILLE HWY, Manchester, TN 37355

Other Names 2

Doing Business AsAutumn Oaks
Doing Business AsAutumn Oaks 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 44D0962302

Manchester Residential Care · Manchester, TN
Active · expires Jun 29, 2027
CLIA Number44D0962302
Laboratory TypeOther
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDr. Michael J. Mckenzie
Laboratory Phone(931) 728-0200
Laboratory LocationManchester Residential Care1621 Mcminnville Highway, Manchester, TN 37355
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 Manchester Residential, LLC's NPI number?

The NPI number for Manchester Residential, LLC is 1073560777. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Autumn Oaks and Autumn Oaks Assisted Living.

Where is Manchester Residential, LLC located?

Manchester Residential, LLC is located at 1621 Mcminnville Hwy, Manchester, TN 37355. The listed phone number is (931) 728-0200.

What is Manchester Residential, LLC's specialty?

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

Does Manchester Residential, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0962302) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manchester Residential, LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.