CHAMPION SUPPORTS & COMMUNITY SERVICES, INC - NPI 1467784017 - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pikeville, KY

Q: What is Champion Supports & Community Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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About Champion Supports & Community Services, Inc NPPES

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

CHAMPION SUPPORTS & COMMUNITY SERVICES, INC (NPI 1467784017) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pikeville, Kentucky and active in the NPI registry since February 2010. The organization lists Tonya Newsome Goble, President And Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467784017

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameCHAMPION SUPPORTS & COMMUNITY SERVICES, INC

Location Address3409 N MAYO TRLPikeville, KY 41501-3268

Mailing Address3409 N Mayo TrlPikeville, KY 41501-3268 · (606) 432-8666 · Fax (606) 432-8159

Phone(606) 432-8666

Fax(606) 432-8159

Organization SubpartNo

Authorized OfficialTonya Newsome GoblePresident And Executive Director · (606) 432-8666

Enumeration DateFebruary 8, 2010

✔ NPI 1467784017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3409 N MAYO TRL, Pikeville, KY 41501

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Other Names 1

Doing Business AsChampion Supports & Community Services, Inc

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAMPION SUPPORTS & SERVICES, INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3409 N MAYO TRL
PIKEVILLE, KY 41501

Pike County (606) 432-8666

DUNGARVIN KENTUCKY, LLC - PIKEVILLE

Day Training, Developmentally Disabled Services

3409 N MAYO TRL
PIKEVILLE, KY 41501

Pike County (606) 432-8666

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 Supports & Community Services, Inc's NPI number?

The NPI number for Champion Supports & Community Services, Inc is 1467784017. It was assigned to this organization in the NPPES registry on February 8, 2010.

Where is Champion Supports & Community Services, Inc located?

Champion Supports & Community Services, Inc is located at 3409 N Mayo Trl, Pikeville, KY 41501. The listed phone number is (606) 432-8666.

What is Champion Supports & Community Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Champion Supports & Community Services, Inc was last updated on February 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.