Provider Demographics
NPI:1346908472
Name:CULTURAL HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:CULTURAL HOME HEALTH CARE LLC
Other - Org Name:CULTURAL HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEQUINTON
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-933-0530
Mailing Address - Street 1:4317 BONNEY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1235
Mailing Address - Country:US
Mailing Address - Phone:757-904-1543
Mailing Address - Fax:
Practice Address - Street 1:4317 BONNEY RD STE 2
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1235
Practice Address - Country:US
Practice Address - Phone:757-904-1543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care