Champion Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHAMPION FAMILY SERVICES

Practice address

3930 Dunwoody Dr
Charlotte, NC 28215-3812

Phone

(704) 310-5659

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Esmond Richardson

Title

Owner

Phone

(704) 310-5659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1619243755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 DUNWOODY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 DUNWOODY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153812",
            "telephone_number": "704-310-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ESMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-310-5659",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Joy Chambliss, BEHAVIOR TECHNICIAN
• Erika Sofia Chambliss, MD
• Jasmine Nicole Chambliss, FNP-BC
• Patricia A Chamorro Aguirre, DMD
• Luis Antonio Chamorro, DMD, MPH
• Champion Healthcare Services
• Champion House of Care
• Elizabeth Champion
• Macie Lynn Champion, MD
• Yamara Champion

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.