Healthcare Provider Details

I. General information

NPI: 1972347300
Provider Name (Legal Business Name): VIVE INFUSIONS NURSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3037 BRYANT PL
DAVIS CA
95618-1613
US

IV. Provider business mailing address

2173 OAKMONT ST
SACRAMENTO CA
95815-3815
US

V. Phone/Fax

Practice location:
  • Phone: 916-340-5959
  • Fax:
Mailing address:
  • Phone: 916-340-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ARIANA CALDERON
Title or Position: CEO/RN
Credential: RN
Phone: 916-340-5959