OrganizationActive
Teal Lake Residential, LLC
NPI 1568419117 · Assisted Living Facility · Mexico, MO
Teal Lake Residential, LLC is a Assisted Living Facility organization in Mexico, MO (NPI 1568419117).
Provider details
- NPI number
- 1568419117
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Schade, Manager(573) 471-1113
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1722 Huntingfield Dr
Mexico, MO 65265-3786
Phone: (573) 582-7800
Street-level locationGet directions
Mailing address
1722 Huntingfield Dr
Mexico, MO 65265-3802
Other names (DBA / former)
- Doing business as
- Teal Lake Assissted Living
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Frequently asked questions
- What is Teal Lake Residential, LLC's NPI number?
- Teal Lake Residential, LLC's National Provider Identifier (NPI) is 1568419117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teal Lake Residential, LLC?
- Teal Lake Residential, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Teal Lake Residential, LLC located?
- Teal Lake Residential, LLC's practice location on file with NPPES is 1722 Huntingfield Dr, Mexico, MO 65265-3786.
- What is Teal Lake Residential, LLC's phone number?
- The practice phone number listed in the NPPES registry for Teal Lake Residential, LLC is (573) 582-7800.
- Who is the authorized official for Teal Lake Residential, LLC?
- The authorized official listed on Teal Lake Residential, LLC's NPPES record is Kyle Schade, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teal Lake Residential, LLC's NPI active?
- Yes — Teal Lake Residential, LLC's NPI (1568419117) is active in the NPPES registry as of the last update on 2026-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.