Healthcare Provider Details

I. General information

NPI: 1205401338
Provider Name (Legal Business Name): NUFACTOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 LAKESIDE PKWY # 404A
FLOWER MOUND TX
75028-4092
US

IV. Provider business mailing address

44900 WINCHESTER RD
TEMECULA CA
92590-2579
US

V. Phone/Fax

Practice location:
  • Phone: 800-292-7930
  • Fax: 855-270-7347
Mailing address:
  • Phone: 800-292-7930
  • Fax: 855-270-7347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LESLIE JEANNE VAUGHAN
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 951-375-2400