Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Village Assisted Living Facility, LLC

Organization Assisted Living Facility · NPI 1083422729

Countryside Village Assisted Living Facility, LLC is an Assisted Living Facility in King City, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 W Fairview St
King City, MO 64463-9606
Phone: (660) 535-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1083422729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Hensley — Owner · (660) 535-2011
Other names Countryside Village Assisted Living Facility, Llc
NPI enumeratedDecember 27, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address300 W Fairview St, King City, MO 64463-9606

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