Champion Community Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHAMPION COMMUNITY CARE, LLC

Practice address

3869 South Fwy
Fort Worth, TX 76110-5600

Phone

(682) 302-4267

Fax

(682) 703-1080

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Gloria Jean Singleton

Title

Administrator/Owner

Phone

(682) 302-4267

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1225746183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 ALANDALE DR",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761197508",
            "telephone_number": "682-302-4267",
            "fax_number": "682-703-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761105600",
            "telephone_number": "682-302-4267",
            "fax_number": "682-703-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "682-302-4267"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Wilson Chambers, LCSW-ACP
• Ryne Chambers, DPT
• Stephanie Chambers, LPC
• Keesha Chamble, LCDC
• Lorraine Chambless
• John Edward Champion, MD
• Hiu Tung Chan Guzman, DMD
• Clara Yipyee Chan, PA-C
• Lauryn Chan
• Rafael Comacho Chan, M.D.

• Home Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.