CHAMPION HEALTHCARE SERVICES (NPI# 1376883819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376883819 |
| Entity Type | Organization |
| Organization Name | CHAMPION HEALTHCARE SERVICES |
| Practice Address |
301 Mccullough Dr Suite 418 Charlotte NC 28262-3310 |
| Mailing Address |
4428 Louisburg Rd Ste 105 Raleigh NC 27616-4302 |
| Practice Telephone | 9195003464 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | NICOLE LOWE (CONTROLLER) |
| Authorized Official Telephone | 9195003464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811236581 | Champion Healthcare Services | Community/Behavioral Health | 4428 Louisburg Rd Ste 105, Raleigh, NC 27616-4302 | 2013-01-31 |
| 1275768921 | Champion Healthcare Services | Community/Behavioral Health | 4241 Knightsbridge Way, Raleigh, NC 27604-8441 | 2009-05-26 |
| 1306408539 | Champion Healthcare Services | Case Management | 201 E 5th St Ste 1900, Cincinnati, OH 45202-4162 | 2019-07-09 |
| 1528314754 | Champion Healthcare Services | Clinical Medical Laboratory | 2949 New Bern Ave, Ste. 108, Raleigh, NC 27610-1248 | 2012-07-25 |
| 1336382621 | Champion Healthcare Services | Community Based Residential Treatment Facility, Mental Illness | 2717 Gross Ave, Wake Forest, NC 27587-4325 | 2009-04-16 |
| Street Address |
301 MCCULLOUGH DR SUITE 418 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326107681 | Alischa Iescha Rodgers | Counselor | 301 Mccullough Dr, 4th Floor, Charlotte, NC 28262-3310 | 2006-12-06 |
| 1295332260 | Lakesha Nance | Nurse's Aide | 301 Mccullough Dr, Charlotte, NC 28262-3310 | 2020-10-02 |
| 1144794637 | Bhwc LLC | Assistant Behavior Analyst | 301 Mccullough Dr, Charlotte, NC 28262-3310 | 2019-01-17 |
| 1447786918 | Charisse Byron | Social Worker | 301 Mccullough Dr, Charlotte, NC 28262-3310 | 2017-05-03 |
| 1366997991 | Healing Pathways Psychotherapy | Marriage & Family Therapist | 301 Mccullough Dr, Suite 400, Charlotte, NC 28262-3310 | 2016-08-24 |
| 1033597026 | Simplified Health Services, Pllc | Home Infusion | 301 Mccullough Dr, Suite 400, Charlotte, NC 28262-3310 | 2015-05-11 |
| 1780070466 | Pathfinder Medical Group | Preventive Medicine | 301 Mccullough Dr, Suite 400, Charlotte, NC 28262-3310 | 2015-04-09 |
| 1417350562 | Barnwell Enterprises, LLC | In Home Supportive Care | 301 Mccullough Dr, 4th Floor, Charlotte, NC 28262-3310 | 2014-10-03 |
| 1891134482 | Karen Thomas | Nurse's Aide | 301 Mccullough Dr, 4th Floor, Charlotte, NC 28262-3310 | 2013-06-18 |
| 1275879330 | Carter's Circle of Care Inc . | Community/Behavioral Health | 301 Mccullough Dr, Suite 453, Charlotte, NC 28262-3310 | 2012-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| 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 |
|---|---|---|---|---|
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 1760090641 | Compact Health Services LLC | Community/Behavioral Health | 7506 E Independence Blvd Ste 130-d, Charlotte, NC 28227-9471 | 2020-07-16 |
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1114540093 | Curtis In Care LLC | Community/Behavioral Health | 10923 Chastain Parc Dr, Charlotte, NC 28216-7654 | 2020-05-26 |
| 1477174407 | Garden of Life, Inc | Community/Behavioral Health | 8339 Fox Swamp Rd, Charlotte, NC 28215-9011 | 2020-04-30 |
| 1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
| 1205468774 | Windsong Family & Psychiatric Associates, Pllc | Community/Behavioral Health | 416 Mccullough Dr Ste 135, Charlotte, NC 28262-4389 | 2020-02-12 |
| 1265071542 | Counseling and Behavioral Therapy | Community/Behavioral Health | 16528 Silversword Dr, Charlotte, NC 28213-4876 | 2020-01-03 |
| 1578101283 | Davis Quality Care LLC | Community/Behavioral Health | 11623 Sweet Rose Ct, Charlotte, NC 28269-3407 | 2019-12-12 |
| Find all providers in CHARLOTTE | ||||
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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.