Organization Active NPI

Kirksville Residential, LLC

Doing business as Highland Crest Memory Care

  • Assisted Living Facility
  • Kirksville, MO
National Provider Identifier
1962628958
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KIRKSVILLE RESIDENTIAL, LLC
Doing business as
Highland Crest Memory Care
The Arbors of Highland Crest
Practice address
620 Gillaspy Rd
Kirksville, MO 63501-4678
Phone
(660) 627-8004
NPI assigned
Apr 18, 2007
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 MO Primary

Addresses

Primary practice location

620 Gillaspy Rd
Kirksville, MO 63501-4678

Mailing address

620 Gillaspy Rd
Kirksville, MO 63501-4678
Phone (660) 627-8004

Other names 2

  • Highland Crest Memory Care Doing business as
  • The Arbors of Highland Crest Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Highland Crest2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1962628958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GILLASPY RD",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014678",
            "telephone_number": "660-627-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GILLASPY RD",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014678",
            "telephone_number": "660-627-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKSVILLE RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "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": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Crest Memory Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Arbors of Highland Crest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Arbors of Highland Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.