Champion Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHAMPION HOSPICE LLC

Practice address

350 W 9TH Ave Ste 209
Escondido, CA 92025-5053

Phone

(619) 780-3244

Fax

(619) 780-3229

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Dante Bautista, OWNER

Title

Owner

Phone

(909) 641-3016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1346866225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 9TH AVE STE 209",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255053",
            "telephone_number": "619-780-3244",
            "fax_number": "619-780-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 9TH AVE STE 209",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255053",
            "telephone_number": "619-780-3244",
            "fax_number": "619-780-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-641-3016",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Carbajal Chalmers
• Nathan Lee Chaloux, RADT 1
• Sylvia Fernandez Chamberlain, M.A. MFT
• Edward Thomas Chambers, M.D.
• Samantha R Chambers, NP
• Champion Hospice LLC
• Andrew T Chan, D.D.S.
• Andy Chan, RN
• Cheuk Lam Billy Chan
• Eliane Chan

• Community Based Hospice Care Agency in Escondido, CA
• Providers in Escondido, CA by specialty
• Community Based Hospice Care Agency in California

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