# CHAMPIONS CHARTER ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Champions Charter Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801339361
- **Authorized official:** NESSA HERRON M.S. (CEO/ DIRECTOR)
- **Authorized official phone:** (909) 861-2315

## Contact information

- **Practice address:** 1370 VALLEY VISTA DR STE 230, DIAMOND BAR, CA 91765-3950
- **Practice address phone:** (909) 861-2315
- **Practice address fax:** (877) 444-0409
- **Mailing address:** 1370 VALLEY VISTA DR STE 230, DIAMOND BAR, CA 91765-3950
- **Mailing address phone:** (909) 861-2315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | CA | Yes |

## Other

- **Enumeration date:** 11/30/2016
- **Last updated:** 11/30/2016