Healthcare Provider Details

I. General information

NPI: 1215421375
Provider Name (Legal Business Name): SIMPLYCARE NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DOVERWOOD
IRVINE CA
92620-2175
US

IV. Provider business mailing address

101 DOVERWOOD
IRVINE CA
92620-2175
US

V. Phone/Fax

Practice location:
  • Phone: 949-304-8759
  • Fax: 949-603-3681
Mailing address:
  • Phone: 949-304-8759
  • Fax: 949-608-3681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. XIAINGYING LUO
Title or Position: PRESIDENT
Credential: NP
Phone: 949-304-8759