Active NPI
Champion Home Medical and Supplies
- Oxygen Equipment & Supplies (DME)
- Kissimmee, FL
National Provider Identifier
1306138953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 332B00000X
- Legal business name
- CHAMPION HOME MEDICAL AND SUPPLIES
- Practice address
- 521 Finch CT
Kissimmee, FL 34759-4426 - Phone
- (407) 486-1783
- NPI assigned
- May 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bob Brown
- Title
- Owner
- Phone
- (407) 486-1783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 332B00000X | FL | Primary |
Addresses
Primary practice location
521 Finch CT
Kissimmee, FL 34759-4426
Mailing address
521 Finch CT
Kissimmee, FL 34759-4426
Phone (407) 486-1783
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305244800000",
"number": "1306138953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 FINCH CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347594426",
"telephone_number": "407-486-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 FINCH CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347594426",
"telephone_number": "407-486-1783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMPION HOME MEDICAL AND SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "BOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-486-1783",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "FL",
"license": "332B00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.