Champion 1 Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CHAMPION 1 TRANSPORTATION LLC

Doing business as

Champion 1 Transportation LLC

Practice address

1650 Howland Blvd
Deltona, FL 32738-5318

Phone

(352) 364-3475

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Reginald PernellNPI 1922655885

Title

Director of Operations

Phone

(352) 364-3475

Specialties & licenses 1

Addresses

Other names 1

• Champion 1 Transportation LLC Doing business as

Practitioners 1

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

• Reginald Pernell

  • Driver
  • Deltona, FL
  • NPI 1922655885
  NPD Authorized official

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1598309577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HOWLAND BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327385318",
            "telephone_number": "352-364-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOWLAND BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327385318",
            "telephone_number": "352-364-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION 1 TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "PERNELL",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "352-364-3475"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion 1 Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Kristine Cempa, M.S. CCC-SLP, TSSLD.
• Central Florida Primary Physicians
• Central Florida Primary Physicians LLC
• Central Florida Transit
• Joseph Cervone
• Kellie Chandler
• Elisabeth M Chapman
• Keesha Charles, RBT
• Randy L Chaulk, D.C.
• CHI-Rho Family Wellness Chiropractic LLC

• Non-emergency Medical Transport (VAN) in Deltona, FL
• Providers in Deltona, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.