MEDICARE: CULTURAL HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	376K00000X	Nurse's Aide
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1346908472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULTURAL HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	4317 BONNEY RD STE 2
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1235
Country	:	US
Telephone Number	:	757-904-1543
Fax Number	:

Provider Business Practice Location Address
First Line	:	4317 BONNEY RD STE 2
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1235
Country	:	US
Telephone Number	:	757-904-1543
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEQUINTON RAMON BAKER
Credential	:
Telephone Number	:	757-933-0530

Provider Enumeration Date	:	12/06/2021
Last Update Date	:	05/18/2022

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