OrganizationActive
Life Enhancement Village
NPI 1538338652 · Assisted Living Facility (Mental Illness) · Nixa, MO
Provider details
- NPI number
- 1538338652
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenny Rogers, Ceo(417) 725-6680
- License
- 032542 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
732 S Gregg Rd
Nixa, MO 65714-7419
Phone: (417) 725-6671
Fax: (417) 725-6671
Approximate (ZIP-level) locationGet directions
Mailing address
732 S Gregg Rd
Nixa, MO 65714-7419
Registry dates
- Enumerated
- 2008-02-22
- Last updated
- 2008-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.