Active NPI
Champion Homecare & Financial Services Inc
- Home Health Agency
- Brockton, MA
National Provider Identifier
1407213630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- T8A7
- Legal business name
- CHAMPION HOMECARE & FINANCIAL SERVICES INC
- Practice address
- 777 Main St
Brockton, MA 02301-6024 - Phone
- (508) 857-4015
- Fax
- (508) 256-0406
- NPI assigned
- Jan 19, 2016
- 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
- Djovany Pierre
- Title
- Administrator
- Phone
- (508) 857-4015
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | T8A7 | MA | Primary |
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
777 Main St
Brockton, MA 02301-6024
Mailing address
673 N Main St
Brockton, MA 02301-2407
Phone (508) 857-4015
Other practice location 1
673 N Main St
Brockton, MA 02301-2407
Phone (508) 232-8633
Other names 1
- Champion Homecare & Services
National Provider Directory
National Provider Directory- Tax ID family
- Champion Homecare Financial Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Private Vehicle
- Brockton, MA
- NPI 1578923470
Locations
777 Main St
Brockton, MA 02301
Phone (508) 857-4015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561248000000",
"number": "1407213630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 N MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012407",
"telephone_number": "508-857-4015",
"fax_number": "508-256-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023016024",
"telephone_number": "508-857-4015",
"fax_number": "508-256-0406"
}
],
"practiceLocations": [
{
"address_1": "673 N Main St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023012407",
"country_code": "US",
"telephone_number": "508-232-8633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHAMPION HOMECARE & FINANCIAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2019-06-23",
"status": "A",
"authorized_official_last_name": "PIERRE",
"authorized_official_first_name": "DJOVANY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "508-857-4015"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MA",
"license": "T8A7",
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Champion Homecare & Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Champion Homecare & Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.