CHAMPION (NPI# 1710326301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710326301 |
| Entity Type | Organization |
| Organization Name | CHAMPION |
| Practice Address |
1262 Tom Bowes Road Hurdle Mills NC 27541 |
| 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 | 2013-06-18 |
| 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 | 073-046 | NC | 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 |
|---|---|---|
| System for Award Management (SAM) Entities | CHAMPION | 180 Traders Mine Rd, Iron Mountain, MI 49801-1447 |
| Colorado Business Entities | Champion & Champion LLC | 3377 Blake St., Ste 207, Denver, CO 80205 |
| Washington State Corporations | CHAMPION + NRG, LLC | 5033 Brooklyn Ave Ne, Unit 1, Seattle, WA 98105 |
| Oregon Corporations, Companies and Business Names | CHAMPION 1 CLEANERS | 1524 Del Rio Se, Albany, OR 97322 |
| New York State Corporations | CHAMPION 1 CONSTRUCTION CO., INC. | 300 Woodcleft Avenue, Freeport, New York 11520 |
| New York State Corporations | CHAMPION 1 CONSTRUCTION OF NEW YORK, LLC | 397 Jericho Turnpike, Floral Park, Ny 11001 |
| New York State Corporations | CHAMPION 1 CONSTRUCTION OF TRI-STATE LLC | 2 Mckee Street, Floral Park, Ny 11001 |
| New York State Corporations | CHAMPION 1 GROUP LLC | 2929 Expressway Drive North, Suite 310, Islandia, New York 11749 |
| New York State Corporations | CHAMPION 11 GROUP LLC | 15 Deer Path, Port Jefferson, Ny 11777 |
| New York State Corporations | CHAMPION 16 LLC | 655 Third Avenue, New York, Ny 10017 |
| Street Address |
1262 TOM BOWES ROAD |
| City | HURDLE MILLS |
| State | NC |
| Zip Code | 27541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881717593 | Fuller Family Care Home | Assisted Living Facility | 719 Walnut Grove Church Road, Hurdle Mills, NC 27541 | 2007-04-09 |
| 1386060622 | Inspirational Family Care Home | Custodial Care Facility | 719 Walnut Grove Church Rd, Hurdle Mills, NC 27541-7993 | 2014-03-11 |
| 1760615249 | Natalia Isabel Cordova | Speech-Language Pathologist | 7250 Burlington Rd, Hurdle Mills, NC 27541-9325 | 2009-08-31 |
| 1699089573 | Janet Hester Lea | Pharmacist | 5760 Hester Store Rd, Hurdle Mills, NC 27541-9455 | 2010-08-03 |
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | HURDLE MILLS |
| Zip Code | 27541 |
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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.