MEDICARE: CULTURAL COMMUNITY COMPANIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1700678638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULTURAL COMMUNITY COMPANIONS LLC

Provider Business Mailing Address
First Line	:	1718 R CIR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-2905
Country	:	US
Telephone Number	:	531-239-4829
Fax Number	:

Provider Business Practice Location Address
First Line	:	1718 R CIR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-2905
Country	:	US
Telephone Number	:	531-239-4829
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHIQUILLIA SCAIFE
Credential	:	CNA
Telephone Number	:	531-239-4829

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/19/2025

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Directions to “CULTURAL COMMUNITY COMPANIONS LLC ” Practice Location

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