Champions Forever, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHAMPIONS FOREVER, LLC

Practice address

24355 W 10 Mile Rd
Southfield, MI 48033-2929

Phone

(248) 864-8860

Fax

(248) 281-6905

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Anthony Bruce McNeal

Title

Director

Phone

(248) 864-8860

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Michael Vincke, O.T.R.L.

  • Neurorehabilitation Occupational Therapist
  • Bay City, MI
  • NPI 1497286314
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1215760905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2819",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480372819",
            "telephone_number": "248-864-8860",
            "fax_number": "248-281-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24355 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332929",
            "telephone_number": "248-864-8860",
            "fax_number": "248-281-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONS FOREVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-864-8860"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satish Kumar Cham, MD
• Emanuel Shaunttee Chambers
• Viyez Natrece Chambliss-Caruthers
• Champion Home Healthcare Inc
• Champion Home Healthcare Inc
• Champions Forever, LLC
• June Lee Chan, MD
• Chance One LLC
• Sunita Chand
• Jayanthi Chandrasekaran

• Rehabilitation Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.