Active NPI
Champion Home Healthcare Inc
- Home Health Agency
- Southfield, MI
National Provider Identifier
1376941005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CHAMPION HOME HEALTHCARE INC
- Practice address
- 16250 Northland Dr
Ste 368
Southfield, MI 48075-5205 - Phone
- (248) 327-7800
- Fax
- (248) 327-7822
- NPI assigned
- Dec 11, 2014
- 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
- Jaqueline B Collins, RN
- Title
- President
- Phone
- (248) 327-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
16250 Northland Dr
Ste 368
Southfield, MI 48075-5205
Mailing address
PO Box 20791
Ferndale, MI 48220-0791
Phone (248) 327-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Champion Home Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Southfield, MI
- NPI 1972344471
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- In Home Supportive Care Agency
- Southfield, MI
- NPI 1972344471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718064000000",
"number": "1376941005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20791",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482200791",
"telephone_number": "248-327-7800",
"fax_number": "248-327-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16250 NORTHLAND DR",
"address_2": "STE 368",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755205",
"telephone_number": "248-327-7800",
"fax_number": "248-327-7822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMPION HOME HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "JAQUELINE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-327-7800",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.