CHAMPION HEALTHCARE SERVICES (NPI# 1306408539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306408539 |
| Entity Type | Organization |
| Organization Name | CHAMPION HEALTHCARE SERVICES |
| Practice Address |
201 E 5th St Ste 1900 Cincinnati OH 45202-4162 |
| Mailing Address |
2949 New Bern Ave Ste 108a Raleigh NC 27610-1248 |
| Practice Telephone | 9194345100 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | BYRON WILLIAMS (CEO) |
| Authorized Official Telephone | 9194345100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 447378 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811236581 | Champion Healthcare Services | Community/Behavioral Health | 4428 Louisburg Rd Ste 105, Raleigh, NC 27616-4302 | 2013-01-31 |
| 1275768921 | Champion Healthcare Services | Community/Behavioral Health | 4241 Knightsbridge Way, Raleigh, NC 27604-8441 | 2009-05-26 |
| 1376883819 | Champion Healthcare Services | Community/Behavioral Health | 301 Mccullough Dr, Suite 418, Charlotte, NC 28262-3310 | 2013-02-20 |
| 1528314754 | Champion Healthcare Services | Clinical Medical Laboratory | 2949 New Bern Ave, Ste. 108, Raleigh, NC 27610-1248 | 2012-07-25 |
| 1336382621 | Champion Healthcare Services | Community Based Residential Treatment Facility, Mental Illness | 2717 Gross Ave, Wake Forest, NC 27587-4325 | 2009-04-16 |
| Street Address |
201 E 5TH ST STE 1900 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45202-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023488160 | 1st Choice Health Care LLC | Preferred Provider Organization | 201 E 5th St Ste 1900, Cincinnati, OH 45202-4162 | 2015-10-01 |
| 1710524004 | Gracious Home Care Agency Inc | In Home Supportive Care | 201 E 5th St Ste 1900, Cincinnati, OH 45202-4162 | 2019-12-05 |
| 1700352010 | Gia Gulotta | Counselor | 201 E 5th St Ste 1900, Cincinnati, OH 45202-4162 | 2018-10-15 |
| 1770010704 | Flourish Psychotherapy, LLC | Clinic/Center | 201 E 5th St Ste 1900, Cincinnati, OH 45202-4162 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
| 1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
| 1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
| 1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
| 1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
| 1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
| 1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
| 1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
| 1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
| Find all providers in zip 45202 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1205469913 | Not Alone, Inc. | Community/Behavioral Health | 1821 Summit Rd Ste 30, Cincinnati, OH 45237-2822 | 2020-02-20 |
| 1861022683 | Lisa R Leace Lisw-s Counseling Services LLC | Community/Behavioral Health | 270 Northland Blvd Ste 211, Cincinnati, OH 45246-3653 | 2020-01-21 |
| 1649819582 | Clay Integrated Health Services | Community/Behavioral Health | 1 N Commerce Park Dr Ste 103, Cincinnati, OH 45215-3188 | 2019-12-23 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1821573882 | Wayne Steven Ford | Community/Behavioral Health | 1765 Williams Ave # 1, Cincinnati, OH 45212-3542 | 2018-09-26 |
| 1508343286 | Next Steps Behavioral Health | Community/Behavioral Health | 3284 North Bend Rd #108, Cincinnati, OH 45211-4521 | 2018-07-25 |
| 1518452085 | Bridges Counseling Services Inc | Community/Behavioral Health | 6240 Hamilton Ave Ste 6b, Cincinnati, OH 45224-2000 | 2018-06-27 |
| 1942792957 | Premier Transformation Counseling & Consulting Services | Community/Behavioral Health | 791 E Mcmillan St Ste 105, Cincinnati, OH 45206-1938 | 2018-06-05 |
| 1740731371 | Mayo Home for Youth Development | Community/Behavioral Health | 129 Woolper Ave, Cincinnati, OH 45220-1215 | 2016-10-19 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45202 |
Please comment or provide details below to improve the information on CHAMPION HEALTHCARE SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.