Champion Family Care Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

CHAMPION FAMILY CARE HOME

Practice address

127 Lucas LN
Mooresboro, NC 28114-6799

Phone

(704) 434-7727

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By 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

Cathy Champion

Title

Owner

Phone

(704) 434-7727

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1306036223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LUCAS LN",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281146799",
            "telephone_number": "704-494-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LUCAS LN",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281146799",
            "telephone_number": "704-434-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-434-7727"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805153",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty J Cooper (BJS Family Care Homes)
• BJS Family Care Home # 2
• Country Living and More Family Care
• DLP Rutherford Physician Practices LLC (Rutherford East Family Care)
• Macey Bright Dunn, FNP
• Duranova Management LLC
• Foothills Harvest Transitional Services, Inc (Lydia's Place)

• Custodial Care Facility in Mooresboro, NC
• Providers in Mooresboro, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.