Organization Active NPI

Champion Home Medical and Supplies

  • Oxygen Equipment & Supplies (DME)
  • Kissimmee, FL
National Provider Identifier
1306138953
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
332B00000X Issued in FL
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

Updated by the provider on May 13, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.