Champagne Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

117423 Issued in TX

Legal business name

CHAMPAGNE INCORPORATED

Practice address

405 N. Main Street
Lindale, TX 75771

Phone

(903) 882-8337

Fax

(903) 882-1627

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Joy Champagne

Title

President

Phone

(903) 882-8337

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Champagne Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Champagne, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lindale, TX
  • NPI 1538360144
  NPD tax ID

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992873715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757711749",
            "telephone_number": "903-882-8337",
            "fax_number": "903-882-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N. MAIN STREET",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "75771",
            "telephone_number": "903-882-8337",
            "fax_number": "903-882-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAGNE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-882-8337"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "117423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "007547",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cannery Pharmacy Services LLC
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• Haley Castillo
• Lindsay Chamberlain, LPC
• Champagne House
• Champagne, Inc.
• Joy Champagne
• Chiropractic Professionals of Lindale PC
• City of Ennis
• Jeri Lynn Clark, CPM, LM

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lindale, TX
• Providers in Lindale, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.