Champion Health Plus CHCS LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHAMPION HEALTH PLUS CHCS LLC

Practice address

1 Bridge PLZ N Ste 275
Fort Lee, NJ 07024-7586

Phone

(201) 490-1014

Fax

(201) 490-1014

NPI assigned

Apr 23, 2021

Last updated

Apr 23, 2021By 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

Valentin Ngufor

Title

President

Phone

(201) 490-1014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1174105704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 275",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247586",
            "telephone_number": "201-490-1014",
            "fax_number": "201-490-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 275",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247586",
            "telephone_number": "201-490-1014",
            "fax_number": "201-490-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HEALTH PLUS CHCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "NGUFOR",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-490-1014"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.