Active NPI
Champion Care Home Health, Inc.
- Home Health Agency
- West Covina, CA
National Provider Identifier
1992456479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.