Active NPI
Marshall Residential, LLC
Doing business as Westport Estates
- Assisted Living Facility
- Marshall, MO
National Provider Identifier
1750338422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MARSHALL RESIDENTIAL, LLC
- Doing business as
- Westport Estates
Westport Estates Assisted Living - Practice address
- 904 S Apache Dr
Marshall, MO 65340-2900 - Phone
- (660) 886-5500
- NPI assigned
- May 28, 2006
- Last updated
- Feb 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Timothy Schade
- Title
- Manager
- Phone
- (573) 471-1113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
904 S Apache Dr
Marshall, MO 65340-2900
Mailing address
904 S Apache Dr
Marshall, MO 65340-2900
Phone (660) 886-5500
Other names 2
- Westport Estates
- Westport Estates Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0881291 | Westport Estates Assisted Living by Americare | Certificate of waiver | Jan 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
904 S Apache Dr
Marshall, MO 65340
Phone (660) 886-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1750338422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 S APACHE DR",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653402900",
"telephone_number": "660-886-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 S APACHE DR",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653402900",
"telephone_number": "660-886-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL RESIDENTIAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "SCHADE",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "TIMOTHY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "573-471-1113"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westport Estates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Westport Estates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Westport Estates Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marshall, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.