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ASHLAND VILLA, LLC
NPI 1104919125
Assisted Living Facility in Ashland, MO

Active since October 02, 2006CLIA 26D0907621 · Waiver
301 S HENRY CLAY BLVD, ASHLAND, MO 65010(573) 657-1920 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 Ashland Villa, Llc NPPES

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

ASHLAND VILLA, LLC (NPI 1104919125), doing business as Ashland Villa, is a healthcare organization registered as an assisted living facility in Ashland, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1104919125
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASHLAND VILLA, LLC
Location Address301 S HENRY CLAY BLVDAshland, MO 65010-9439
Mailing Address301 S Henry Clay BlvdAshland, MO 65010-9439 · (573) 657-1920
Phone(573) 657-1920
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1104919125 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.
301 S HENRY CLAY BLVD, Ashland, MO 65010
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Other Names 2

Doing Business AsAshland Villa
Doing Business AsAshland Villa 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 26D0907621

Ashland Villa Assisted Living By Americare · Ashland, MO
Active · expires Oct 16, 2027
CLIA Number26D0907621
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorMachelle R. Lander
Laboratory Phone(573) 657-1920
Laboratory LocationAshland Villa Assisted Living By Americare301 S Henry Clay Blvd, Ashland, MO 65010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CINDY UNDERWOOD-MORTRUD
Occupational Therapy Assistant
301 S HENRY CLAY BLVD
ASHLAND, MO 65010
Boone County (800) 804-9961

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 Ashland Villa, LLC's NPI number?

The NPI number for Ashland Villa, LLC is 1104919125. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Ashland Villa and Ashland Villa Assisted Living.

Where is Ashland Villa, LLC located?

Ashland Villa, LLC is located at 301 S Henry Clay Blvd, Ashland, MO 65010. The listed phone number is (573) 657-1920.

What is Ashland Villa, LLC's specialty?

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

Does Ashland Villa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0907621) is associated with this NPI, valid through October 16, 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 Ashland Villa, LLC was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.