CHAMPION HOME (NPI# 1346689171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346689171 |
| Entity Type | Organization |
| Organization Name | CHAMPION HOME |
| Practice Address |
507 Blue Lake Drive Mebane NC 27302 |
| Mailing Address |
2331 Crownpoint Executive Drive Suite J Charlotte NC 28227 |
| Practice Telephone | 7048413544 |
| Practice Fax Number | 7048413545 |
| Mailing Telephone | 7048413544 |
| Mailing Fax Number | 7048413545 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | KIERAN M DEAN (PRESIDENT, CFO) |
| Authorized Official Telephone | 7048413544 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED SUPPORT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409493 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CHAMPION HOME & CONSTRUCTION SERVICES, LLC | 14252 E Lake Dr, Claremore, OK 74017 |
| Colorado Business Entities | CHAMPION HOME BUILDERS CO | 755 West Big Beaver Rd, Ste 1000, Troy, MI 48084 |
| Washington State Corporations | CHAMPION HOME BUILDERS CO. | 755 W Big Beaver Rd Ste 1000, Troy, MI 48084 |
| Virginia Business Entities | Champion Home Builders Inc. | 755 W Big Beaver Rd Ste 1000, Troy, Michigan 48084-4908 |
| Oregon Corporations, Companies and Business Names | CHAMPION HOME BUILDERS, INC. | 755 West Big Beaver Road, Suite 1000, Troy, MI 48084 |
| Colorado Business Entities | Champion Home Builders, Inc. | 755 W Big Beaver, Suite 1000, Troy, MI 48084 |
| New York State Corporations | CHAMPION HOME BUILDERS, INC. | 28 Liberty St., New York, New York 10005 |
| Iowa Business Entities | CHAMPION HOME BUILDERS, INC. | 755 W Big Beaver, Suite 1000, Troy, MI 48084 |
| Vermont Business Registrations | CHAMPION HOME BUILDERS, INC. | 755 W Big Beaver Rd 1000, Troy, MI 48084 |
| Massachusetts Corporations | CHAMPION HOME BUILDERS, INC. | 755 West Big Beaver Rd., Ste 1000, Troy, MI 48084 |
| Street Address |
507 BLUE LAKE DRIVE |
| City | MEBANE |
| State | NC |
| Zip Code | 27302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389117 | Heather Shelton | Speech-Language Pathologist | 2502 S Nc 119, Mebane, NC 27302 | 2018-09-13 |
| 1538653514 | I.c.a.r.e. Counseling Services, Pllc | Counselor | 106 S Fourth St Ste A, Mebane, NC 27302 | 2018-06-21 |
| 1558860858 | Ridge Care Inc | Custodial Care Facility | 1999 South Highway 119 S, Mebane, NC 27302 | 2018-02-02 |
| 1619496767 | Lindsay Elizabeth Grobman | Physical Therapist | 412 Tighfield Dr, Mebane, NC 27302 | 2017-09-10 |
| 1760911689 | Lane and Associates Xxxi, Dds, Pa | Dentist | 1242 S Fifth St, Mebane, NC 27302 | 2017-06-05 |
| 1386042554 | Alamance Manor Assisted Living LLC | Custodial Care Facility | 1999 South Highway 150, Mebane, NC 27302 | 2014-12-19 |
| 1467850883 | Hope's Highway, Pllc | Social Worker | 105 East Center St., Suite B9, Mebane, NC 27302 | 2014-12-17 |
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| 1316289770 | Whitney Mallalieu | Physical Therapist | 2502 North Carolina Highway 119, Mebane, NC 27302 | 2013-03-25 |
| Find all providers in zip 27302 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770998858 | Latasha Machelle-kelly Smith | Community/Behavioral Health | 210 Ashbury Sq, Mebane, NC 27302-8741 | 2014-06-26 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| 1649618885 | Solutions Community Support Agency, LLC | Community/Behavioral Health | 115 Falcon Ln, Mebane, NC 27302-9150 | 2013-06-10 |
| 1710129283 | Medisolutions, Inc. | Community/Behavioral Health | 204 N Fifth St, Suite J, Mebane, NC 27302-2520 | 2009-03-30 |
| 1255832523 | Hopeful Change Counseling, Pllc | Community/Behavioral Health | 1404 Torrey Pines Ct, Mebane, NC 27302-7944 | 2018-02-22 |
| 1346772571 | Conny Wulff, Msw, Lcsw, Pllc | Community/Behavioral Health | 105 E Center St, Ste B-11, Mebane, NC 27302-2420 | 2017-03-28 |
| 1538309182 | Susie's Place for Community Support | Community/Behavioral Health | 1101 S Fifth St, Mebane, NC 27302-9182 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.