Healthcare Provider Details

I. General information

NPI: 1346908472
Provider Name (Legal Business Name): CULTURAL HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4317 BONNEY RD STE 2
VIRGINIA BEACH VA
23452-1235
US

IV. Provider business mailing address

4317 BONNEY RD STE 2
VIRGINIA BEACH VA
23452-1235
US

V. Phone/Fax

Practice location:
  • Phone: 757-904-1543
  • Fax:
Mailing address:
  • Phone: 757-904-1543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DEQUINTON RAMON BAKER
Title or Position: OWNER
Credential:
Phone: 757-933-0530