NPIMap

Organization Active NPI

Champion Learning LLC

  • Developmentally Disabled Services Day Training Agency
  • Irvington, NJ
National Provider Identifier
1366942138
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CHAMPION LEARNING LLC
Practice address
19 Mill Rd
Irvington, NJ 07111-1009
Phone
(908) 967-9690
NPI assigned
Feb 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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

Authorized official

Name
Mrs. Ehimwenma Adeyin, MPA, EDSNPI 1992235147
Title
Director
Phone
(908) 967-9690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

19 Mill Rd
Irvington, NJ 07111-1009

Mailing address

25 Quabeck Ave
Hillside, NJ 07205-1007
Phone (908) 967-9690

National Provider Directory

National Provider Directory

Locations

19 Mill Rd
Irvington, NJ 07111
Phone (908) 967-0855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518825600000",
    "number": "1366942138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 QUABECK AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051007",
            "telephone_number": "908-967-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MILL RD",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111009",
            "telephone_number": "908-967-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION LEARNING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A",
        "authorized_official_last_name": "ADEYIN",
        "authorized_official_first_name": "EHIMWENMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-967-9690",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPA, EDS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; 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.