Organization Active NPI

Marshall Residential, LLC

Doing business as Westport Estates

  • Assisted Living Facility
  • Marshall, MO
National Provider Identifier
1750338422
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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)CodeLicenseStatePrimary
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 Doing business as
  • Westport Estates Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0881291Westport Estates Assisted Living by Americare904 Apache Drive, Marshall, MO 65340Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.