Champion Home Health Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHAMPION HOME HEALTH CARE SERVICES, LLC

Practice address

320 Brookes Dr Ste 228
Hazelwood, MO 63042-2733

Phone

(314) 224-1396

NPI assigned

Mar 1, 2021

Organization subpart

No

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

Authorized official

Name

Mia Champion

Title

Executive Director

Phone

(314) 224-1396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1245824366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 BAYONNE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631382433",
            "telephone_number": "314-224-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 228",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422733",
            "telephone_number": "314-224-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-224-1396"
    },
    "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 Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.