Organization Active NPI

Champion Caregivers, Inc.

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1508142274
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211446 Issued in FL
Legal business name
CHAMPION CAREGIVERS, INC.
Practice address
1801 Clint Moore Rd
Suite 104
Boca Raton, FL 33487-2752
Phone
(561) 347-0440
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Edith Kimberly Champion
Title
President
Phone
(561) 347-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211446 FL Primary

Addresses

Primary practice location

1801 Clint Moore Rd
Suite 104
Boca Raton, FL 33487-2752

Mailing address

1801 Clint Moore Rd
Suite 104
Boca Raton, FL 33487-2752
Phone (561) 347-0440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1508142274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CLINT MOORE RD",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872752",
            "telephone_number": "561-347-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CLINT MOORE RD",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872752",
            "telephone_number": "561-347-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CAREGIVERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-347-0440"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.