CHAMPIONS DEVELOPMENTAL CARE NPI 1588444335

NPI Information

NPI: 1588444335
Provider Name: CHAMPIONS DEVELOPMENTAL CARE
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4620 E 53RD ST STE 200
DAVENPORT, IA
ZIP 52807
Phone: (563) 949-1148
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CHAMPIONS DEVELOPMENTAL CARE is a community based residential treatment facility, intellectual and/or developmental disabilities in Davenport, IA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHAMPIONS DEVELOPMENTAL CARE NPI is 1588444335. The provider is registered as an organization entity type.

The provider's business location address is:

4620 E 53RD ST STE 200
DAVENPORT, IA
ZIP 52807-627
Phone: (563) 949-1148

The provider's authorized official is Dwayne Harris .
The authorized official title is Ceo and has the following contact phone number (563) 949-1148.

The enumeration date for this NPI number is 9/29/2023 and was last updated on 9/29/2023.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 5/5/2024

NPI Synchronization or Removal

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