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

NPI Status: Active since February 22, 2008

Contact Information

732 S GREGG RD
NIXA, MO
ZIP 65714
Phone: (417) 725-6671
Fax: (417) 725-6671

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness
  • CLIA Number: 26D0957792
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 03-01-2027

About LIFE ENHANCEMENT VILLAGE

This page provides the complete NPI Profile along with additional information for Life Enhancement Village, a provider established in Nixa, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1538338652 assigned on February 2008. The practitioner's primary taxonomy code is 3104A0625X with license number 032542 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Kenny L Rogers (Ceo)

NPI
1538338652
Provider Name
LIFE ENHANCEMENT VILLAGE
Entity Type
Organization
Location Address
732 S GREGG RD NIXA, MO 65714
Location Phone
(417) 725-6671
Location Fax
(417) 725-6671
Mailing Address
732 S GREGG RD NIXA, MO 65714
Mailing Phone
(417) 725-6671
Mailing Fax
(417) 725-6671
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2008
Last Update Date
02-22-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
032542
License State
MO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY L ROGERS

Authorized Official Title
CEO
Authorized Official Phone
(417) 725-6680

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3751109MEDICAID (05)MO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0957792
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
March 02, 2025
Certificate Expiration Date
March 01, 2027
Laboratory Director
GLENDA STEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Life Enhancement Village to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538338652, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 6 + 3 + 1 + 6 + 6 + 1 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1538338652.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility (Assisted Living, Mental Illness)
732 S GREGG RD
NIXA, MO 65714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538338652, enumerated as an "organization" on February 22, 2008.

The provider is located at 732 S GREGG RD NIXA, MO 65714 and the phone number is (417) 725-6671.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.