CHAMPIONS FOREVER LLC NPI 1215760905

NPI Information

  • NPI: 1215760905
  • Provider Name: CHAMPIONS FOREVER, LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 24355 W 10 MILE RD
    SOUTHFIELD, MI
    ZIP 48033
  • Phone: (248) 864-8860

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NPI Details

CHAMPIONS FOREVER, LLC is a rehabilitation clinic center in Southfield, MI. CHAMPIONS FOREVER, LLC NPI is 1215760905. The provider is registered as an organization entity type.

The provider's business location address is:

24355 W 10 MILE RD
SOUTHFIELD, MI
ZIP 48033-929
Phone: (248) 864-8860
Fax: (248) 281-6905

The provider's authorized official is Anthony Bruce Mcneal .
The authorized official title is Director and has the following contact phone number (248) 864-8860.

The enumeration date for this NPI number is 8/20/2024 and was last updated on 9/10/2024.

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
1261QR0400XClinic/CenterRehabilitationYes

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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