1. Home
  2. Directory
  3. Missouri
  4. King City
  5. Assisted Living Facility
  6. NPI Profile

COUNTRYSIDE VILLAGE ASSISTED LIVING FACILITY, LLC
NPI 1083422729
Assisted Living Facility in King City, MO

Active since December 27, 2024
300 W FAIRVIEW ST, KING CITY, MO 64463(660) 535-2011 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Village Assisted Living Facility, Llc NPPES

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

COUNTRYSIDE VILLAGE ASSISTED LIVING FACILITY, LLC (NPI 1083422729) is a healthcare organization registered as an assisted living facility in King City, Missouri and active in the NPI registry since December 2024. The organization lists Michelle L Hensley, Owner, as its authorized official.

NPPES Registry Identity

NPI1083422729
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRYSIDE VILLAGE ASSISTED LIVING FACILITY, LLC
Location Address300 W FAIRVIEW STKing City, MO 64463-9606
Mailing Address300 W Fairview StKing City, MO 64463-9606 · (660) 535-2011
Phone(660) 535-2011
Organization SubpartNo
Authorized OfficialMichelle L HensleyOwner · (660) 535-2011
Enumeration DateDecember 27, 2024
NPPES CertifiedDecember 27, 2024
✔ NPI 1083422729 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.
300 W FAIRVIEW ST, King City, MO 64463
Open in Google Maps ↗

Other Names 1

Doing Business AsCountryside Village Assisted Living Facility, Llc

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KING CITY HEALTHCARE, LLC
Skilled Nursing Facility
300 W FAIRVIEW ST
KING CITY, MO 64463
Gentry County (660) 535-4325
EMMA BUCHER DPT
Physical Therapist
300 W FAIRVIEW ST
KING CITY, MO 64463
Gentry County (660) 535-4325
WILD-KAT ESTATES, LLC
Assisted Living Facility
300 W FAIRVIEW ST
KING CITY, MO 64463
Gentry County (660) 535-2011
HARBORVIEW KING CITY LLC
Skilled Nursing Facility
300 W FAIRVIEW ST
KING CITY, MO 64463
Gentry County (660) 535-4325
FUEMMELER HOLDINGS, LLC
Assisted Living Facility
300 W FAIRVIEW ST
KING CITY, MO 64463
Gentry County (660) 535-2011

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 Countryside Village Assisted Living Facility, LLC's NPI number?

The NPI number for Countryside Village Assisted Living Facility, LLC is 1083422729. It was assigned to this organization in the NPPES registry on December 27, 2024.

Where is Countryside Village Assisted Living Facility, LLC located?

Countryside Village Assisted Living Facility, LLC is located at 300 W Fairview St, King City, MO 64463. The listed phone number is (660) 535-2011.

What is Countryside Village Assisted Living Facility, 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 Countryside Village Assisted Living Facility, LLC was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.