# CHAMPION HOME HEALTH CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245824366
- **Authorized official:** MIA CHAMPION (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 224-1396

## Contact information

- **Practice address:** 320 BROOKES DR STE 228, HAZELWOOD, MO 63042-2733
- **Practice address phone:** (314) 224-1396
- **Mailing address:** 1426 BAYONNE DR, SAINT LOUIS, MO 63138-2433
- **Mailing address phone:** (314) 224-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2021
- **Last updated:** 03/01/2021