Organization Active NPI

Champs

  • In Home Supportive Care Agency
  • Flint, MI
National Provider Identifier
1992558316
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHAMPS
Practice address
1401 Poplar St
Flint, MI 48503-4845
Phone
(810) 341-2745
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Tiffany Hensley
Title
Provider
Phone
(810) 341-2745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1401 Poplar St
Flint, MI 48503-4845

Mailing address

1401 Poplar St
Flint, MI 48503-4845
Phone (810) 341-2745

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1992558316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 POPLAR ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034845",
            "telephone_number": "810-341-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 POPLAR ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034845",
            "telephone_number": "810-341-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "810-341-2745"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.