Organization Active NPI

Clbrand Enterprise LLC

Doing business as Champion Home Healthcare

  • In Home Supportive Care Agency
  • Converse, TX
National Provider Identifier
1104354067
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CLBRAND ENTERPRISE LLC
Doing business as
Champion Home Healthcare
Practice address
7903 Cherry Glade
Converse, TX 78109-3273
Phone
(210) 240-0259
NPI assigned
May 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carolyn Hurst
Title
President
Phone
(210) 240-0259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7903 Cherry Glade
Converse, TX 78109-3273

Mailing address

7903 Cherry Glade
Converse, TX 78109-3273
Phone (210) 240-0259

Other names 1

  • Champion Home Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104354067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 CHERRY GLADE",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093273",
            "telephone_number": "210-240-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7903 CHERRY GLADE",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093273",
            "telephone_number": "210-240-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLBRAND ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-240-0259"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.