1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Clinic Center
  6. NPI Profile

VIVENT HEALTH INC
NPI 1144513128
Clinic/Center - Health Service in Kenosha, WI

Active since May 24, 2011
1212 57TH ST, KENOSHA, WI 53140(262) 657-6644(262) 657-6949 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vivent Health Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVENT HEALTH INC (NPI 1144513128) is a healthcare organization registered as a health service in Kenosha, Wisconsin and active in the NPI registry since May 2011. The organization lists Tim Dyer, Exec Vp, as its authorized official.

NPPES Registry Identity

NPI1144513128
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameVIVENT HEALTH INC
Location Address1212 57TH STKenosha, WI 53140-4069
Mailing Address820 N Plankinton AveMilwaukee, WI 53203-1802 · (414) 225-1542 · Fax (414) 225-1575
Phone(262) 657-6644
Fax(262) 657-6949
Organization SubpartNo
Authorized OfficialTim DyerExec Vp · (866) 525-5484
Enumeration DateMay 24, 2011
Last NPPES UpdateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1144513128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1212 57TH ST, Kenosha, WI 53140
Open in Google Maps ↗

Other Identifiers 1

Medicaid32895000WI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIVENT HEALTH INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 57TH ST
KENOSHA, WI 53140
Kenosha County (262) 657-6644
KELSEY LYNN BOHR NP
Nurse Practitioner (Family)
1212 57TH ST
KENOSHA, WI 53140
Kenosha County (262) 657-6644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivent Health Inc's NPI number?

The NPI number for Vivent Health Inc is 1144513128. It was assigned to this organization in the NPPES registry on May 24, 2011.

Where is Vivent Health Inc located?

Vivent Health Inc is located at 1212 57th St, Kenosha, WI 53140. The listed phone number is (262) 657-6644.

What is Vivent Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Vivent Health Inc was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.