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CHAMPIONS CHARTER ACADEMY NPI 1801339361


NPI Information

NPI: 1801339361
Provider Name: CHAMPIONS CHARTER ACADEMY

Doing Business As: CHAMPIONS CHARTER SERVICES

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1370 VALLEY VISTA DR STE 230
DIAMOND BAR, CA
ZIP 91765
Phone: (909) 861-2315
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CHAMPIONS CHARTER ACADEMY is an in home supportive care in Diamond Bar, CA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. CHAMPIONS CHARTER ACADEMY NPI is 1801339361. The provider is registered as an organization entity type.
The provider Is Doing Business As Champions Charter Services.

The provider's business location address is:

1370 VALLEY VISTA DR STE 230
DIAMOND BAR, CA
ZIP 91765-950
Phone: (909) 861-2315
Fax: (877) 444-0409

The provider's authorized official is Nessa Herron .
The authorized official title is Ceo/ Director and has the following contact phone number (909) 861-2315.

The enumeration date for this NPI number is 11/30/2016 and was last updated on 11/30/2016.


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
1253Z00000XIn Home Supportive CareCALIFORNIAYes

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
1LC20150000036MEDICARE UPINCALIFORNIA
2LC20150000036MEDICARE PINCALIFORNIA

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: 4/28/2024

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