VIVID SAFE HOUSE – NPI #1043070063
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

VIVID SAFE HOUSE is a residential treatment facility located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1043070063 to VIVID SAFE HOUSE on March 19, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VIVID SAFE HOUSE below.

NPI Profile for
VIVID SAFE HOUSE

NPI Number
1043070063
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VIVID SAFE HOUSE
Primary location
3210 E BERNADA DRIVE
SALT LAKE CITY, UT 84124
Phone: (801) 449-0089 Fax:
Mailing address
4943 S WASATCH BLVD
SALT LAKE CITY, UT 84124-4798
Phone: (801) 449-0089 Fax:
Organization Subpart
Yes - VIVID SAFE HOUSE is subpart of another organization.
Authorized Official
STEVEN LABRUM
FINANCE DIRECTOR
Phone: (801) 718-0132
Updated
Certification Date
Mar 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.