Organization · Type 2 NPI

Life Enhancement Village Operating Company LLC

Assisted Living Facility (Mental Illness) · Nixa, MO

NPI number 1740143064 Active

Practice location

732 S Gregg Rd
Nixa, MO 65714-7419

Mailing address

2732 N Oak Park Dr
Springfield, MO 65803-2084

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed

Assisted Living Facility (Mental Illness): 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.

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About NPI 1740143064

Life Enhancement Village Operating Company LLC's National Provider Identifier is 1740143064, issued on Dec 4, 2025. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Nixa, MO. The record was last updated on Dec 4, 2025.