Healthcare Provider Details

I. General information

NPI: 1508729955
Provider Name (Legal Business Name): CC HOLISTIC LIFE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 VALLEY ST
OMAHA NE
68105-3932
US

IV. Provider business mailing address

3604 VALLEY ST
OMAHA NE
68105-3932
US

V. Phone/Fax

Practice location:
  • Phone: 402-850-6300
  • Fax:
Mailing address:
  • Phone: 402-850-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CHENEL GORDON
Title or Position: CEO
Credential:
Phone: 402-850-6300