RAVENWOOD RESIDENTIAL, LLC
NPI 1992751283
Assisted Living Facility in Springfield, MO
About Ravenwood Residential, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVENWOOD RESIDENTIAL, LLC (NPI 1992751283), doing business as Ravenwood Assisted Living, is a healthcare organization registered as an assisted living facility in Springfield, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Kyle Timothy Schade, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 26D0946181
Ravenwood Residential Care Center · Springfield, MOFrequently 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 Ravenwood Residential, LLC's NPI number?
The NPI number for Ravenwood Residential, LLC is 1992751283. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Ravenwood Assisted Living.
Where is Ravenwood Residential, LLC located?
Ravenwood Residential, LLC is located at 1950 E Republic Rd, Springfield, MO 65804. The listed phone number is (417) 890-6000.
What is Ravenwood Residential, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Ravenwood Residential, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0946181) is associated with this NPI, valid through May 18, 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 Ravenwood Residential, 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.
# Ravenwood Residential, Llc · NPI 1992751283
Assisted Living Facility organization in Springfield, Missouri. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1992751283 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Ravenwood Assisted Living (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kyle Schade, MANAGER
## Practice location
- **Address:** 1950 E REPUBLIC RD, Springfield, MO 65804-6763
- **Phone:** (417) 890-6000
## Record status
- **NPPES last updated:** February 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992751283) · Data from the CMS NPPES public registry.