Champ Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHAMP HOME CARE, LLC

Practice address

12470 Everest Peak LN
Woodbridge, VA 22192-6733

Phone

(703) 400-6000

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Otuo Serebour Acheampong, PHD,MBA,CPA

Title

President

Phone

(703) 400-6000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1306387725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 EVEREST PEAK LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926733",
            "telephone_number": "703-400-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 EVEREST PEAK LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926733",
            "telephone_number": "703-400-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMP HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ACHEAMPONG",
        "authorized_official_first_name": "OTUO",
        "authorized_official_middle_name": "SEREBOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-400-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,MBA,CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Cerrato
• Kimberly Certa, D.D.S.
• Laura Cerza, PHARM.D.
• Morgan Chafin, LMSW
• Ashwin B Chakurkar, MD
• Farn Chan, MD
• Allison Chance
• Jianing Zhang Chaney, PH.D, PA-C
• Jane J Chang, MD
• Jennifer Chang, DNP

• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.