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LIFE ENHANCEMENT VILLAGE
NPI 1538338652
Assisted Living Facility - Assisted Living, Mental Illness in Nixa, MO

Active since February 22, 2008CLIA 26D0957792 · Waiver
732 S GREGG RD, NIXA, MO 65714(417) 725-6671(417) 725-6671 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Enhancement Village NPPES

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

LIFE ENHANCEMENT VILLAGE (NPI 1538338652) is a healthcare organization registered as an assisted living, mental illness in Nixa, Missouri and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Kenny L Rogers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538338652
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameLIFE ENHANCEMENT VILLAGE
Location Address732 S GREGG RDNixa, MO 65714-7419
Mailing Address732 S Gregg RdNixa, MO 65714-7419 · (417) 725-6671 · Fax (417) 725-6671
Phone(417) 725-6671
Fax(417) 725-6671
Organization SubpartNo
Authorized OfficialKenny L RogersCeo · (417) 725-6680
Enumeration DateFebruary 22, 2008
✔ NPI 1538338652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in MO · 032542
Definition
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.
732 S GREGG RD, Nixa, MO 65714
Open in Google Maps ↗

Other Identifiers 1

Medicaid3751109MO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0957792

Life Enhancement Village · Nixa, MO
Active · expires Mar 1, 2027
CLIA Number26D0957792
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorGlenda Stein
Laboratory Phone(417) 725-5146
Laboratory LocationLife Enhancement Village732 South Gregg Road, Nixa, MO 65714
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LIFE ENHANCEMENT VILLAGE OPERATING COMPANY LLC
Assisted Living Facility (Assisted Living, Mental Illness)
732 S GREGG RD
NIXA, MO 65714
Christian County (417) 725-6680

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 Life Enhancement Village's NPI number?

The NPI number for Life Enhancement Village is 1538338652. It was assigned to this organization in the NPPES registry on February 22, 2008.

Where is Life Enhancement Village located?

Life Enhancement Village is located at 732 S Gregg Rd, Nixa, MO 65714. The listed phone number is (417) 725-6671.

What is Life Enhancement Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Life Enhancement Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0957792) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Enhancement Village was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.