Healthcare Provider Details

I. General information

NPI: 1194230771
Provider Name (Legal Business Name): NU CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13950 MILTON AVE STE 404
WESTMINSTER CA
92683-2939
US

IV. Provider business mailing address

13950 MILTON AVE STE 404
WESTMINSTER CA
92683-2939
US

V. Phone/Fax

Practice location:
  • Phone: 714-442-2580
  • Fax: 714-442-2580
Mailing address:
  • Phone: 714-442-2580
  • Fax: 714-442-2580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number304700186
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. H. EDWARD LEE
Title or Position: CEO
Credential:
Phone: 714-495-2844