Organization Active NPI

Champion Home Care LLC

Doing business as Jim Myers Home Care

  • Durable Medical Equipment & Medical Supplies
  • Tuscaloosa, AL
National Provider Identifier
1881956548
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHAMPION HOME CARE LLC
Doing business as
Jim Myers Home Care
Practice address
5980 Old Greensboro Rd Ste C
Tuscaloosa, AL 35405-6226
Phone
(205) 556-9760
Fax
(205) 553-2150
NPI assigned
Jun 8, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Bradley David Champion
Title
Owner
Phone
(205) 799-1084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5980 Old Greensboro Rd Ste C
Tuscaloosa, AL 35405-6226

Mailing address

5980 Old Greensboro Rd Ste C
Tuscaloosa, AL 35405-6226
Phone (205) 556-9760

Other names 1

  • JIM MYERS HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2008 8th St
Tuscaloosa, AL 35401
Phone (205) 556-9760

5980 Old Greensboro Rd
Ste C
Tuscaloosa, AL 35405
Phone (205) 345-8700

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1881956548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 OLD GREENSBORO RD STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056226",
            "telephone_number": "205-556-9760",
            "fax_number": "205-553-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 OLD GREENSBORO RD STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056226",
            "telephone_number": "205-556-9760",
            "fax_number": "205-553-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-799-1084"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JIM MYERS HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.