Champion House of Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

25C00000X Issued in NC

Legal business name

CHAMPION HOUSE OF CARE

Practice address

5907 Barrington Dr
Charlotte, NC 28215-2311

Phone

(704) 746-8081

Fax

(980) 859-7106

NPI assigned

Mar 14, 2017

Last updated

Mar 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janette Lovern Kinard

Title

Ceo

Phone

(704) 746-8081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1073054730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 BARRINGTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152311",
            "telephone_number": "704-746-8081",
            "fax_number": "980-859-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 BARRINGTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152311",
            "telephone_number": "704-746-8081",
            "fax_number": "980-859-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HOUSE OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "KINARD",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_middle_name": "LOVERN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-746-8081"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "25C00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Nicole Chambliss, FNP-BC
• Patricia A Chamorro Aguirre, DMD
• Luis Antonio Chamorro, DMD, MPH
• Champion Family Services
• Champion Healthcare Services
• Elizabeth Champion
• Macie Lynn Champion, MD
• Yamara Champion
• Kate W.K Chan, PA-C
• Ruben Chan, MD

• Developmentally Disabled Services Day Training Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.