Champion Family Care Home in Mooresboro - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Champion Family Care Home - NPI 1306036223
Champion Family Care Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Mooresboro, North Carolina. Champion Family Care Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Champion Family Care Home is 1306036223. The last update date is 2007-07-26.
Champion Family Care Home's current location address is 127 Lucas Ln, Mooresboro, North Carolina. You can contact this provider via phone number 7044947727. The mailing address for Champion Family Care Home is 127 Lucas Ln, Mooresboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Champion Family Care Home |
|---|---|
| Address | 127 Lucas Ln, Mooresboro, North Carolina |
| Phone Number | 7044947727 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Champion Cathy |
| Telephone Number | 7044347727 |
NPI Number Detail
| NPI Number | 1306036223 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 127 Lucas Ln |
|---|---|
| City | Mooresboro |
| State | North Carolina (NC) |
| Post Code | 281146799 |
| Phone Number | 7044947727 |
| Fax Number |
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 |
|---|---|---|---|
| 7805153 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Champion Family Care Home by the Centers for Medicare & Medicaid Services?
The Champion Family Care Home has been assigned the NPI (National Provider Identifier) 1306036223 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Champion Family Care Home is physically located?
The Champion Family Care Home is physically situated at the following address: 127 Lucas Ln, Mooresboro, NC, 281146799.
What is Champion Family Care Home's area of expertise and its corresponding taxonomy classification?
The Champion Family Care Home's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1306036223 to Champion Family Care Home?
The Champion Family Care Home received its 1306036223 assignment from the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date was the information regarding Champion Family Care Home, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Champion Family Care Home, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-26.