KIRKSVILLE RESIDENTIAL, LLC
NPI 1215984810
Assisted Living Facility in Kirksville, MO

Active since May 28, 2006
2204 S HALLIBURTON ST, KIRKSVILLE, MO 63501(660) 627-8004 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Kirksville Residential, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRKSVILLE RESIDENTIAL, LLC (NPI 1215984810), doing business as Highland Crest, is a healthcare organization registered as an assisted living facility in Kirksville, Missouri and active in the NPI registry since May 2006. The organization lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1215984810
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKIRKSVILLE RESIDENTIAL, LLC
Location Address2204 S HALLIBURTON STKirksville, MO 63501-4651
Mailing Address2204 S Halliburton StKirksville, MO 63501-4651 · (660) 627-8004
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateMay 28, 2006
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1215984810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2204 S HALLIBURTON ST, Kirksville, MO 63501

Other Names 2

Doing Business AsHighland Crest
Doing Business AsHighland Crest Assisted Living

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirksville Residential, LLC's NPI number?

The NPI number for Kirksville Residential, LLC is 1215984810. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Highland Crest and Highland Crest Assisted Living.

Where is Kirksville Residential, LLC located?

Kirksville Residential, LLC is located at 2204 S Halliburton St, Kirksville, MO 63501. The listed phone number is (660) 627-8004.

What is Kirksville Residential, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kirksville Residential, LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.