Organization Active NPI

Champion Home Health Care, LLC

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1699268789
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHAMPION HOME HEALTH CARE, LLC
Practice address
2537 W Scott St
Milwaukee, WI 53204-1959
Phone
(414) 255-9050
Fax
(414) 255-9052
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Brandon Rule
Title
Owner / Administrator
Phone
(414) 255-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X WI Primary

Addresses

Primary practice location

2537 W Scott St
Milwaukee, WI 53204-1959

Mailing address

2537 W Scott St
Milwaukee, WI 53204-1959
Phone (414) 255-9050

Other identifiers 1

IdentifierTypeStateIssuer
100071313MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1699268789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 W SCOTT ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041959",
            "telephone_number": "414-255-9050",
            "fax_number": "414-255-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 W SCOTT ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041959",
            "telephone_number": "414-255-9050",
            "fax_number": "414-255-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "RULE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "414-255-9050"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071313",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.