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LIFE ENHANCEMENT VILLAGE OF BRANSON
NPI 1689842916
Assisted Living Facility - Assisted Living, Mental Illness in Walnut Shade, MO

Active since February 20, 2008
421 OAK RIDGE RD, WALNUT SHADE, MO 65771(417) 561-5395(417) 561-5395 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Enhancement Village Of Branson NPPES

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

LIFE ENHANCEMENT VILLAGE OF BRANSON (NPI 1689842916) is a healthcare organization registered as an assisted living, mental illness in Walnut Shade, Missouri and active in the NPI registry since February 2008. The organization lists Kenny Rogers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689842916
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameLIFE ENHANCEMENT VILLAGE OF BRANSON
Location Address421 OAK RIDGE RDWalnut Shade, MO 65771-9173
Mailing Address421 Oak Ridge RdWalnut Shade, MO 65771-9173 · (417) 561-5395 · Fax (417) 561-5395
Phone(417) 561-5395
Fax(417) 561-5395
Organization SubpartNo
Authorized OfficialKenny RogersCeo · (417) 725-6680
Enumeration DateFebruary 20, 2008
✔ NPI 1689842916 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 · 0328545
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.
421 OAK RIDGE RD, Walnut Shade, MO 65771
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Other Identifiers 1

Medicaid8611209MO

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 Of Branson's NPI number?

The NPI number for Life Enhancement Village Of Branson is 1689842916. It was assigned to this organization in the NPPES registry on February 20, 2008.

Where is Life Enhancement Village Of Branson located?

Life Enhancement Village Of Branson is located at 421 Oak Ridge Rd, Walnut Shade, MO 65771. The listed phone number is (417) 561-5395.

What is Life Enhancement Village Of Branson's specialty?

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

When was this NPI record last updated?

The NPPES record for Life Enhancement Village Of Branson was last updated on February 20, 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.