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Life Enhancement Village of Branson

Assisted Living Facility (Mental Illness) in Walnut Shade, MO · enumerated 2008 · authorized official Kenny Rogers, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689842916

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Registry record

Entity type Organization (Type 2)
Legal business name Life Enhancement Village of Branson
Practice address 421 Oak Ridge Rd, Walnut Shade, MO, 65771
Fax (417) 561-5395
Enumeration date Feb 20, 2008
Last updated in NPPES Feb 20, 2008

Taxonomy & classification

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities · License 0328545 (MO) Primary

Authorized official

Name Kenny Rogers
Title Ceo

Other identifiers

Identifier Type State Issuer
8611209 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Life Enhancement Village of Branson?
Life Enhancement Village of Branson is registered in NPPES as a Assisted Living Facility (Mental Illness) (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-20.