MEDICARE: COCO NICOLE CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1699590513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COCO NICOLE CONSULTING

Provider Business Mailing Address
First Line	:	6296 MAGNOLIA AVE # 1088
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6296 MAGNOLIA AVE # 1088
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2526
Country	:	US
Telephone Number	:	951-554-1925
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANISHA HOWARD
Credential	:
Telephone Number	:	951-505-3171

Provider Enumeration Date	:	11/15/2024
Last Update Date	:	03/05/2025

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Directions to “COCO NICOLE CONSULTING ” Practice Location

Language	Start Address	Practice Location

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