CHAMPAGNE INC. NPI 1538360144

NPI Information

NPI: 1538360144
Provider Name: CHAMPAGNE, INC.

Doing Business As: JEFFRIES HOUSE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
314 JEFFERIES ST
LINDALE, TX
ZIP 75771
Phone: (903) 882-8337
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CHAMPAGNE, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Lindale, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHAMPAGNE, INC. NPI is 1538360144. The provider is registered as an organization entity type.
The provider Is Doing Business As Jeffries House.

The provider's business location address is:

314 JEFFERIES ST
LINDALE, TX
ZIP 75771-208
Phone: (903) 882-8337
Fax: (903) 882-1627

The provider's authorized official is Joy Champagne .
The authorized official title is Owner and has the following contact phone number (903) 882-8337.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		117423	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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