OrganizationActive
Life Enhancement Village Operating Company LLC
NPI 1740143064 · Assisted Living Facility (Mental Illness) · Nixa, MO
Provider details
- NPI number
- 1740143064
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Josephat Bitok, Owner(417) 763-0704
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
732 S Gregg Rd
Nixa, MO 65714-7419
Phone: (417) 725-6680
Approximate (ZIP-level) locationGet directions
Mailing address
2732 N Oak Park Dr
Springfield, MO 65803-2084
Registry dates
- Enumerated
- 2025-12-04
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.