Healthcare Provider Details

I. General information

NPI: 1790631240
Provider Name (Legal Business Name): LIVEN HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2253 N DOWNING ST
DENVER CO
80205-5234
US

IV. Provider business mailing address

2253 N DOWNING ST
DENVER CO
80205-5234
US

V. Phone/Fax

Practice location:
  • Phone: 720-473-9851
  • Fax:
Mailing address:
  • Phone: 303-578-9582
  • Fax: 720-405-4482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MAVIS OWUSU
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC
Phone: 303-578-9582