Jackson Residential, LLC
Jackson Residential, LLC is a healthcare organization registered as Assisted Living Facility in Jackson, TN, holding Type 2 (organization) NPI 1821045576 since 2006. The authorized official on file is Kyle Schade, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821045576 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Residential, LLC |
| Other name | <Unavail> |
| Practice address | 108 PHYSICIANS DR, Jackson, TN, 38305 |
| Phone | 7316646099 |
| Enumeration date | 2006-05-28 |
| Last updated in NPPES | 2026-03-10 |
Authorized official
| Name | Kyle Schade |
|---|---|
| Title | Manager |
| Phone | 5734711113 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | — | — |
Copy-ready billing details
Provider: Jackson Residential, LLC NPI: 1821045576 Taxonomy: 310400000X (Assisted Living Facility) Address: 108 PHYSICIANS DR, Jackson, TN, 38305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043035991 | Melissa Hazelwood | Individual | Physical Therapist | Jackson, TN |
| 1912850348 | Rachel Cox | Individual | Physical Rehabilitation Occupational Therapist | Jackson, TN |
Verify this record
Cross-check NPI 1821045576 against the authoritative CMS record: view Jackson Residential, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jackson Residential, LLC?
Who is the authorized official for Jackson Residential, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-10.