Healthcare Provider Details

I. General information

NPI: 1508718610
Provider Name (Legal Business Name): NUCO HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 W LINCOLN AVE STE 100
ANAHEIM CA
92801-5103
US

IV. Provider business mailing address

2331 W LINCOLN AVE STE 100
ANAHEIM CA
92801-5103
US

V. Phone/Fax

Practice location:
  • Phone: 714-349-6082
  • Fax:
Mailing address:
  • Phone: 714-349-6082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. TU DO
Title or Position: CEO
Credential:
Phone: 714-349-6082