Organization Active NPI

Exodus 23 Real Estate Company LLC

  • Assisted Living Facility (Mental Illness)
  • Bolivar, MO
National Provider Identifier
1831052158
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
EXODUS 23 REAL ESTATE COMPANY LLC
Practice address
1830 E Laverne St
Bolivar, MO 65613-1488
Phone
(417) 763-0704
Fax
(417) 427-3671
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mr. Josephat K Bitok
Title
Owner
Phone
(417) 763-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

1830 E Laverne St
Bolivar, MO 65613-1488

Mailing address

2732 N Oak Park Dr
Springfield, MO 65803-2084
Phone (417) 763-0704

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1831052158",
    "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",
            "fax_number": "417-427-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E LAVERNE ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131488",
            "telephone_number": "417-763-0704",
            "fax_number": "417-427-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS 23 REAL ESTATE 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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

  • 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.