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CHAMPION HOMECARE & FINANCIAL SERVICES INC NPI 1578923470


NPI Information

NPI: 1578923470
Provider Name: CHAMPION HOMECARE & FINANCIAL SERVICES INC

Doing Business As: CHAMPION TRANSPORTATION

Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
673 N MAIN ST
BROCKTON, MA
ZIP 02301
Phone: (508) 638-1904
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CHAMPION HOMECARE & FINANCIAL SERVICES INC is a private vehicle in Brockton, MA. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. CHAMPION HOMECARE & FINANCIAL SERVICES INC NPI is 1578923470. The provider is registered as an organization entity type.
The provider Is Doing Business As Champion Transportation.

The provider's business location address is:

673 N MAIN ST
BROCKTON, MA
ZIP 02301-407
Phone: (508) 638-1904

The provider's authorized official is Djovany Pierre .
The authorized official title is Administrator and has the following contact phone number (508) 232-8633.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1347C00000XPrivate VehicleS94527281MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11407213630MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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