Life Enhancement Village Operating Company LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

LIFE ENHANCEMENT VILLAGE OPERATING COMPANY LLC

Practice address

732 S Gregg Rd
Nixa, MO 65714-7419

Phone

(417) 725-6680

NPI assigned

Dec 4, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Josephat K Bitok

Title

Owner

Phone

(417) 763-0704

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1740143064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 N OAK PARK DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032084",
            "telephone_number": "417-763-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 S GREGG RD",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147419",
            "telephone_number": "417-725-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT VILLAGE OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BITOK",
        "authorized_official_first_name": "JOSEPHAT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-763-0704"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shannon L Locke, MS CCC SLP
• Ryan Addison Lollis, DNP

• Assisted Living Facility (Mental Illness) in Nixa, MO
• Providers in Nixa, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.