Organization
CHAMPION CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLINDA TREVINO RN (DIRECTOR/CEO/CFO)
(956) 718-2777
Entity
Organization
Contact information
Practice address
1419 MARKET ST, LAREDO, TX 78040
(956) 712-2156
(956) 727-7861
Mailing address
1419 MARKET ST, LAREDO, TX 78040-8841
(956) 712-2156
(956) 727-7861
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
004883
TX
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024195201
—
TX
Enumeration date
07/07/2006
Last updated
04/12/2019
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