HERITAGE RESIDENTIAL, LLC
NPI 1851348510
Assisted Living Facility in Kennett, MO

Active since May 28, 2006CLIA 26D0912152 · Waiver
1806 SAINT FRANCIS ST, KENNETT, MO 63857(573) 888-1188 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Heritage Residential, Llc NPPES

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

HERITAGE RESIDENTIAL, LLC (NPI 1851348510), doing business as St Francis Park Assisted Living, is a healthcare organization registered as an assisted living facility in Kennett, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1851348510
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE RESIDENTIAL, LLC
Location Address1806 SAINT FRANCIS STKennett, MO 63857-1568
Mailing Address1806 Saint Francis StKennett, MO 63857-1568
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateMay 28, 2006
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1851348510 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.
1806 SAINT FRANCIS ST, Kennett, MO 63857

Other Names 1

Doing Business AsSt Francis Park 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 26D0912152

Heritage Residential Care Center · Kennett, MO
Active · expires Feb 22, 2028
CLIA Number26D0912152
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorToni Holcomb
Laboratory Phone(573) 888-1188
Laboratory LocationHeritage Residential Care Center1806 Saint Francis, Kennett, MO 63857
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 Heritage Residential, LLC's NPI number?

The NPI number for Heritage Residential, LLC is 1851348510. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as St Francis Park Assisted Living.

Where is Heritage Residential, LLC located?

Heritage Residential, LLC is located at 1806 Saint Francis St, Kennett, MO 63857. The listed phone number is (573) 888-1188.

What is Heritage Residential, LLC's specialty?

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

Does Heritage Residential, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0912152) is associated with this NPI, valid through February 22, 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 Heritage Residential, LLC was last updated on February 2, 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.