=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962323014
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENLIVEN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 FALCON RIDGE PKWY STE 203
-----------------------------------------------------
City | MESQUITE
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89027-8879
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-686-8907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 350 FALCON RIDGE PKWY STE 203
-----------------------------------------------------
City | MESQUITE
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89027-8879
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-686-8907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICAL
-----------------------------------------------------
Name | RODNEY J BRIGGS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 702-686-8907
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QI0500X
-----------------------------------------------------
Taxonomy Name | Infusion Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------