JACKSON RESIDENTIAL, LLC
NPI 1821045576
Assisted Living Facility in Jackson, TN

Q: What is Jackson Residential, LLC's NPI number?

The NPI number for Jackson Residential, LLC is 1821045576. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Alexandria Place and Alexandria Place Assisted Living.

Q: What is Jackson Residential, LLC's specialty?

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

Active since May 28, 2006

108 PHYSICIANS DR, JACKSON, TN 38305(731) 664-6099 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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About Jackson Residential, Llc NPPES

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

JACKSON RESIDENTIAL, LLC (NPI 1821045576), doing business as Alexandria Place, is a healthcare organization registered as an assisted living facility in Jackson, Tennessee and active in the NPI registry since May 2006. The organization lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1821045576

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameJACKSON RESIDENTIAL, LLC

Location Address108 PHYSICIANS DRJackson, TN 38305-6012

Mailing Address108 Physicians DrJackson, TN 38305-6012

Phone(731) 664-6099

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 1821045576 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.

108 PHYSICIANS DR, Jackson, TN 38305

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Other Names 2

Doing Business AsAlexandria Place

Doing Business AsAlexandria Place Assisted Living

Other Providers at the Same Location NPPES 2

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

DR. MELISSA HAZELWOOD DPT

Physical Therapist

108 PHYSICIANS DR
JACKSON, TN 38305

Madison County (731) 298-0159

MRS. RACHEL JANE COX OTR/L, C/NDT

Occupational Therapist (Physical Rehabilitation)

108 PHYSICIANS DR
JACKSON, TN 38305

Madison County (731) 664-6099

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 Jackson Residential, LLC's NPI number?

The NPI number for Jackson Residential, LLC is 1821045576. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Alexandria Place and Alexandria Place Assisted Living.

Where is Jackson Residential, LLC located?

Jackson Residential, LLC is located at 108 Physicians Dr, Jackson, TN 38305. The listed phone number is (731) 664-6099.

What is Jackson Residential, 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 Jackson 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.