Provider Demographics
NPI:1598348526
Name:CHAMPION HEALTHPLUS LLC
Entity type:Organization
Organization Name:CHAMPION HEALTHPLUS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ATEMBERGH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-724-9663
Mailing Address - Street 1:1 BRIDGE PLZ N STE 675-212
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-7101
Mailing Address - Country:US
Mailing Address - Phone:908-864-5553
Mailing Address - Fax:908-864-5642
Practice Address - Street 1:1 BRIDGE PLZ N STE 675-212
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7101
Practice Address - Country:US
Practice Address - Phone:908-864-5553
Practice Address - Fax:908-864-5642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health