CHAMPIONS FOREVER, LLC (NPI# 1467976100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467976100 |
| Entity Type | Organization |
| Organization Name | CHAMPIONS FOREVER, LLC |
| Practice Address |
25750 Lahser Rd Ste 210 Southfield MI 48033-5809 |
| Mailing Address |
3707 Lincoln Rd Bloomfield MI 48301-3959 |
| Practice Telephone | 2484152526 |
| Mailing Telephone | 2485949545 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | MRS. ARTESIA MCNEAL -WASHINGTON (PRESIDENT) |
| Authorized Official Telephone | 2485949545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
25750 LAHSER RD STE 210 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-5809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407139694 | Avalon Care LLC | Day Training, Developmentally Disabled Services | 29444 Northwestern Hwy, Suite 210, Southfield, MI 48034-1029 | 2011-09-23 |
| 1043344385 | Jewish Vocational Service & Community Workshop | Day Training, Developmentally Disabled Services | 29699 Southfield Rd, Southfield, MI 48076 | 2007-03-16 |
| 1881120772 | Abi's In Home Senior Care, LLC | Day Training, Developmentally Disabled Services | 15700 Providence Dr, 400, Southfield, MI 48075-3144 | 2017-05-11 |
| 1609237619 | Lela Stovall, LLC | Day Training, Developmentally Disabled Services | 16000 W 9 Mile Rd, Suite 112, Southfield, MI 48075-4808 | 2016-03-18 |
| 1548694177 | Glory Adult Day Program | Day Training, Developmentally Disabled Services | 21700 Northwestern Hwy, Suite 880, Southfield, MI 48075-4906 | 2013-08-30 |
| 1093857427 | Excel Employment Options | Day Training, Developmentally Disabled Services | 27211 Lahser Rd, Suite 100, Southfield, MI 48034-8469 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696107 | Novus Living | Day Training, Developmentally Disabled Services | 7860 Wayne Rd, Romulus, MI 48174-1668 | 2020-07-21 |
| 1942850391 | Full Circle Care, LLC | Day Training, Developmentally Disabled Services | 5040 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2019-09-18 |
| 1649733635 | Dutton Farm, Inc | Day Training, Developmentally Disabled Services | 2290 Dutton Rd, Rochester Hills, MI 48306-2332 | 2019-04-08 |
| 1902360530 | Skill and Ability Education | Day Training, Developmentally Disabled Services | 4523 Connor Ct, Ypsilanti, MI 48197-9229 | 2019-01-28 |
| 1518437243 | Asd Smart Kids | Day Training, Developmentally Disabled Services | 337 Sylvan Drive, Canton, MI 48188-4818 | 2018-11-26 |
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1447731179 | Tony Edward Rice | Day Training, Developmentally Disabled Services | 21043 Bauman Rd, Battle Creek, MI 49017-8413 | 2018-08-21 |
| 1821590696 | Rise All Lives Matter | Day Training, Developmentally Disabled Services | 100 W Ferry St, Berrien Springs, MI 49103-1194 | 2018-03-07 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 1609305531 | Specialized Personal Recovery Services LLC. | Day Training, Developmentally Disabled Services | 1364 Alexander Dr, Traverse City, MI 49696-9340 | 2017-06-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on CHAMPIONS FOREVER, LLC.
| 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.