MEDICARE: SPRINGFIELD RESIDENTIAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1588611131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGFIELD RESIDENTIAL, LLC

Provider Business Mailing Address
First Line	:	2540 S MAIN ST
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-4528
Country	:	US
Telephone Number	:	615-212-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 S MAIN ST
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-4528
Country	:	US
Telephone Number	:	615-212-0300
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KYLE TIMOTHY SCHADE
Credential	:
Telephone Number	:	573-471-1113

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	03/10/2026

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1578442794 — TRACEY LYNN PIPER
Practice Location Address:

3090 E LEFFEL LN
SPRINGFIELD, OH
45505-4528

Practice Phone: 937-536-8121
Practice Fax: 937-536-8121

1528641859 — VIP MIDSOUTH, LLC
Practice Location Address:

426 22ND AVE E
SPRINGFIELD, TN
37172-3711

Practice Phone: 615-384-0600
Practice Fax: 615-452-7862

1942444138 — MISS TIFFANY D WILLIAMS CNM
Practice Location Address:

500 NORTHCREST DR , 520
SPRINGFIELD, TN
37172

Practice Phone: 615-219-6190
Practice Fax: 833-471-3070

1831823657 — DR. SALWAN RAAD AL-SAAD ALLA MD
Practice Location Address:

100 NORTHCREST DR
SPRINGFIELD, TN
37172-3927

Practice Phone: 615-384-2411
Practice Fax:

1871107482 — SPRINGFIELD RESIDENTIAL, LLC
Practice Location Address:

2530 SOUTH MAIN STREET
SPRINGFIELD, TN
37172

Practice Phone: 615-667-6919
Practice Fax:

Directions to “SPRINGFIELD RESIDENTIAL, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.