LIFE ENHANCEMENT VILLAGE OF THE OZARKS INC. NPI 1841474871

NPI Information

  • NPI: 1841474871
  • Provider Name: LIFE ENHANCEMENT VILLAGE OF THE OZARKS, INC.
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • CLIA Number: 26D0957792
  • Address: 1111 CARE AVE
    NIXA, MO
    ZIP 65714
  • Phone: (417) 725-6680

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NPI Details

LIFE ENHANCEMENT VILLAGE OF THE OZARKS, INC. is an assisted living and mental illness assisted living facility in Nixa, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. LIFE ENHANCEMENT VILLAGE OF THE OZARKS, INC. NPI is 1841474871. The provider is registered as an organization entity type.

The provider's business location address is:

1111 CARE AVE
NIXA, MO
ZIP 65714-679
Phone: (417) 725-6680

The provider's authorized official is Kenny Rogers .
The authorized official title is Ceo and has the following contact phone number (417) 725-6680.

The CLIA number assigned to this NPI record is 26D0957792 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 12/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness034314MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13145500MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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