Kirksville Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KIRKSVILLE RESIDENTIAL, LLC

Practice address

620 Gillaspy Rd
Kirksville, MO 63501-4678

Phone

(660) 627-8004

NPI assigned

Apr 18, 2007

Organization subpart

No

Name

Kyle Timothy Schade

Title

Manager

Phone

(573) 471-1113

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.

• Kirksville Residential, LLC

  • Assisted Living Facility
  • Kirksville, MO
  • NPI 1215984810
  NPD tax ID

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2026.

{
    "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"
        }
    ]
}

• Kirksville Missouri Hospital Company, LLC
• Kirksville Missouri Hosptial Company LLC
• Kirksville Physical Therapy Services LLC
• Kirksville R-III Schools
• Kirksville Residential, LLC
• Kirksville Specialty Clinic LLC
• Kirksville Speech and Swallow Clinic LLC
• Jonathon R Kirsch, D.O.
• John R Knudsen, DO
• Brandon Koester

• All providers in Kirksville, MO
• Assisted Living Facility in Missouri

• 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.