CHAMPIONS NURSING SERVICES LLC NPI 1184242026

NPI Information

  • NPI: 1184242026
  • Provider Name: CHAMPIONS NURSING SERVICES, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 11D2227516
  • Address: 2365 WALL ST SE STE 210
    CONYERS, GA
    ZIP 30013
  • Phone: (404) 254-7099

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NPI Details

CHAMPIONS NURSING SERVICES, LLC is a hospice care community based in Conyers, GA. CHAMPIONS NURSING SERVICES, LLC NPI is 1184242026. The provider is registered as an organization entity type.

The provider's business location address is:

2365 WALL ST SE STE 210
CONYERS, GA
ZIP 30013-197
Phone: (404) 254-7099
Fax: (678) 658-7634

The provider's authorized official is Kethy Michel .
The authorized official title is Member and has the following contact phone number (404) 254-7099.

The CLIA number assigned to this NPI record is 11D2227516 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2020 and was last updated on 7/7/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

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: 11/21/2025

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