Organization Active NPI

Champion Home Health Care LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1003224403
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHAMPION HOME HEALTH CARE LLC
Practice address
10525 Lord Dr
Saint Louis, MO 63136-6033
Phone
(314) 716-3118
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacqueline Porter
Title
Owner
Phone
(314) 716-3118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10525 Lord Dr
Saint Louis, MO 63136-6033

Mailing address

10525 Lord Dr
Saint Louis, MO 63136-6033
Phone (314) 716-3118

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1003224403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 LORD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366033",
            "telephone_number": "314-716-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 LORD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366033",
            "telephone_number": "314-716-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-716-3118"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.