Champion CDS Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHAMPION CDS SERVICES, LLC

Practice address

320 Brookes Dr Ste 228
Hazelwood, MO 63042-2733

Phone

(314) 224-1396

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Mia Champion

Title

Executive Director

Phone

(314) 224-1396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1972270882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 228",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422733",
            "telephone_number": "314-224-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 228",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422733",
            "telephone_number": "314-224-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CDS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-224-1396"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.