CHAMPIONS DEVELOPMENTAL CARE – NPI #1588444335
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CHAMPIONS DEVELOPMENTAL CARE is a community based residential treatment facility located in DAVENPORT, IA. NPPES has assigned the NPI number 1588444335 to CHAMPIONS DEVELOPMENTAL CARE on September 29, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHAMPIONS DEVELOPMENTAL CARE below.

NPI Profile for
CHAMPIONS DEVELOPMENTAL CARE

NPI Number
1588444335
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHAMPIONS DEVELOPMENTAL CARE
Primary location
4620 E 53RD ST STE 200
DAVENPORT, IA 52807-3627
Phone: (563) 949-1148 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DWAYNE HARRIS
CEO
Phone: (563) 949-1148
Updated
Certification Date
Sep 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.