Champion Supports & Services, Inc in Pikeville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Champion Supports & Services, Inc - NPI 1386795268
Champion Supports & Services, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Pikeville, Kentucky. Champion Supports & Services, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Champion Supports & Services, Inc is 1386795268. The last update date is 2020-08-22.
Champion Supports & Services, Inc's current location address is 3409 N Mayo Trl, Pikeville, Kentucky. You can contact this provider via phone number 6064328666 and fax number 6064328159. The mailing address for Champion Supports & Services, Inc is 3409 N Mayo Trl, Pikeville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Champion Supports & Services, Inc |
|---|---|
| Address | 3409 N Mayo Trl, Pikeville, Kentucky |
| Phone Number | 6064328666 |
| Fax Number | 6064328159 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Newsome-Sanders Dee Tonya |
| Telephone Number | 6064328666 |
NPI Number Detail
| NPI Number | 1386795268 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3409 N Mayo Trl |
|---|---|
| City | Pikeville |
| State | Kentucky (KY) |
| Post Code | 415013268 |
| Phone Number | 6064328666 |
| Fax Number | 6064328159 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33000779 | KY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Champion Supports & Services, Inc by the Centers for Medicare & Medicaid Services?
The Champion Supports & Services, Inc has been issued the NPI (National Provider Identifier) 1386795268. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Champion Supports & Services, Inc's facilities are situated?
The facilities of Champion Supports & Services, Inc are physically located at the following address: 3409 N Mayo Trl, Pikeville, KY, 415013268.
What is Champion Supports & Services, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Champion Supports & Services, Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
When did the Champion Supports & Services, Inc receive its 1386795268?
The Champion Supports & Services, Inc was issued its 1386795268 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Champion Supports & Services, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Champion Supports & Services, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY