Organization Active NPI

NDM Partners LLC

Doing business as Champion Home Health Care

  • Home Health Agency
  • Stuart, FL
National Provider Identifier
1750694543
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NR30211392 Issued in FL
Legal business name
NDM PARTNERS LLC
Doing business as
Champion Home Health Care
Practice address
500 NW Dixie Hwy
Suite 104
Stuart, FL 34994
Phone
(772) 287-5432
Fax
(772) 497-7012
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mr. Daniel Bentancur
Title
Owner/Administrator
Phone
(772) 287-5432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NR30211392 FL Primary
Nursing Care Agency 251J00000X NR30211392 FL

Addresses

Primary practice location

500 NW Dixie Hwy
Suite 104
Stuart, FL 34994

Mailing address

500 N Dixie Hwy Ste 104
Stuart, FL 34994-1186
Phone (772) 287-5432

Other names 1

  • Champion Home Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1750694543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N DIXIE HWY STE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941186",
            "telephone_number": "772-287-5432",
            "fax_number": "772-497-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW DIXIE HWY",
            "address_2": "SUITE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-287-5432",
            "fax_number": "772-497-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDM PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BENTANCUR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-287-5432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "NR30211392",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "NR30211392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.