Healthcare Provider Details

I. General information

NPI: 1477415297
Provider Name (Legal Business Name): VIVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 N CREEK LOOP RD
BEAVER UT
84713
US

IV. Provider business mailing address

3233 N CREEK LOOP RD
BEAVER UT
84713
US

V. Phone/Fax

Practice location:
  • Phone: 435-310-1208
  • Fax:
Mailing address:
  • Phone: 435-310-1208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIEL GARDNER
Title or Position: MANAGER
Credential:
Phone: 435-310-1208