Organization Active NPI

Nexus Healthlink LLC

  • Home Health Agency
  • Colton, CA
National Provider Identifier
1265104657
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEXUS HEALTHLINK LLC
Practice address
1325 E Cooley Dr Ste 102
Colton, CA 92324-3966
Phone
(951) 662-6267
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evaline Ocegueda
Title
Project Manager
Phone
(951) 662-6267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1325 E Cooley Dr Ste 102
Colton, CA 92324-3966

Mailing address

1325 E Cooley Dr Ste 102
Colton, CA 92324-3966

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nexus Healthlink LLCCCN 758072
Ownership
-
Certified
May 20, 2024

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2290939Nexus Healthlink, LLC1325 E Cooley Dr Suit 102, Colton, CA 92324Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory

Locations

1325 E Cooley Dr
Ste 102
Colton, CA 92324
Phone (909) 719-0520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1265104657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E COOLEY DR STE 102",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E COOLEY DR STE 102",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243966",
            "telephone_number": "951-662-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS HEALTHLINK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "OCEGUEDA",
        "authorized_official_first_name": "EVALINE",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "951-662-6267"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.