Organization Active NPI

Champion Care Home Health, Inc.

  • Home Health Agency
  • West Covina, CA
National Provider Identifier
1992456479
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHAMPION CARE HOME HEALTH, INC.
Practice address
855 N Lark Ellen Ave Ste B1
West Covina, CA 91791-1099
Phone
(626) 268-1522
NPI assigned
Jan 15, 2022
Organization subpart
Yes
Parent organization
MI INVESTMENTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Authorized official

Name
Inga Mitinyan
Title
Ceo
Phone
(626) 268-1522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

855 N Lark Ellen Ave Ste B1
West Covina, CA 91791-1099

Mailing address

855 N Lark Ellen Ave Ste B1
West Covina, CA 91791-1099
Phone (626) 268-1522

National Provider Directory

National Provider Directory

Locations

855 N Lark Ellen Ave
Ste B1
West Covina, CA 91791
Phone (626) 268-1522

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1992456479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N LARK ELLEN AVE STE B1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911099",
            "telephone_number": "626-268-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N LARK ELLEN AVE STE B1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911099",
            "telephone_number": "626-268-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CARE HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MI INVESTMENTS, INC.",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "MITINYAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-268-1522"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.