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CHAMPION CITY HOME HEALTH CARE LLC
NPI 1235883893
Home Health in Springfield, OH

Active since February 11, 2022CLIA 36D2255404 · Waiver
1030 N FOUNTAIN AVE, SPRINGFIELD, OH 45504(937) 504-2915 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Champion City Home Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPION CITY HOME HEALTH CARE LLC (NPI 1235883893) is a healthcare organization registered as a home health in Springfield, Ohio and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Jerome Vinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1235883893
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCHAMPION CITY HOME HEALTH CARE LLC
Location Address1030 N FOUNTAIN AVESpringfield, OH 45504-2228
Mailing Address1030 N Fountain AveSpringfield, OH 45504-2228
Phone(937) 504-2915
Organization SubpartNo
Authorized OfficialJerome VinsonOwner · (937) 408-1231
Enumeration DateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1235883893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1030 N FOUNTAIN AVE, Springfield, OH 45504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2255404

Champion City Home Health Care LLC · Springfield, OH
Active · expires Mar 13, 2028
CLIA Number36D2255404
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorSandra Holloway
Laboratory Phone(937) 504-2915
Laboratory LocationChampion City Home Health Care LLC1030 N Fountain Ave, Springfield, OH 45504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Champion City Home Health Care LLC (CMS certification number 369355), from CMS Care Compare.

Champion City Home Health Care LLC

Home health agency · Springfield, OH
CMS Certification Number369355
Medicare-Certified SinceMay 12, 2023
Phone(937) 504-2915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champion City Home Health Care LLC's NPI number?

The NPI number for Champion City Home Health Care LLC is 1235883893. It was assigned to this organization in the NPPES registry on February 11, 2022.

Where is Champion City Home Health Care LLC located?

Champion City Home Health Care LLC is located at 1030 N Fountain Ave, Springfield, OH 45504. The listed phone number is (937) 504-2915.

What is Champion City Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Champion City Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2255404) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Champion City Home Health Care LLC a Medicare-certified home health agency?

Yes. Champion City Home Health Care LLC is a Medicare-certified home health agency, certified since May 12, 2023.

What insurance does Champion City Home Health Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Champion City Home Health Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Champion City Home Health Care LLC was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.