Champion Family Care Home

LBN: Champion Family Care Home
Champion Family Care Home is an health care organization with primary practice located at 127 Lucas Ln , Mooresboro NC 28114-6799. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Custodial Care Facility is the primary health care specialty. Champion Family Care Home can be contacted via phone (704) 434-7727, or through Champion, Cathy via phone (704) 434-7727.

Contact Information

Primary practice address
127 Lucas Ln Mooresboro NC 28114-6799
Phone: (704) 434-7727
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Champion, Cathy
Phone: (704) 434-7727

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1306036223
LBN Legal business name Champion Family Care Home
DBA Doing business as
Authorized official Champion, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306036223 NPPES
North Carolina MEDICAID 7805153

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