CC HOLISTIC LIFE
NPI 1508729955
Home Health Aide in Omaha, NE

Active since December 03, 2025
3604 VALLEY ST, OMAHA, NE 68105(402) 850-6300 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cc Holistic Life NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CC HOLISTIC LIFE (NPI 1508729955) is a healthcare organization registered as a home health aide in Omaha, Nebraska and active in the NPI registry since December 2025. The organization lists Chenel Gordon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508729955
Entity TypeOrganization
Primary Taxonomy374U00000X
Legal Business NameCC HOLISTIC LIFE
Location Address3604 VALLEY STOmaha, NE 68105-3932
Mailing Address3604 Valley StOmaha, NE 68105-3932 · (402) 850-6300
Organization SubpartNo
Authorized OfficialChenel GordonCeo · (402) 850-6300
Enumeration DateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
NPI 1508729955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
3604 VALLEY ST, Omaha, NE 68105

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
3604 VALLEY ST
OMAHA, NE 68105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cc Holistic Life's NPI number?

The NPI number for Cc Holistic Life is 1508729955. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Cc Holistic Life located?

Cc Holistic Life is located at 3604 Valley St, Omaha, NE 68105. The listed phone number is (402) 850-6300.

What is Cc Holistic Life's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Cc Holistic Life was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.