Provider Demographics
NPI:1629864988
Name:CHAMPION CARE SOLUTIONS
Entity type:Organization
Organization Name:CHAMPION CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SHERARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-232-0781
Mailing Address - Street 1:10000 LINCOLN DR E STE 201
Mailing Address - Street 2:
Mailing Address - City:EVESHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3105
Mailing Address - Country:US
Mailing Address - Phone:732-232-0781
Mailing Address - Fax:
Practice Address - Street 1:150 HUGHES DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1321
Practice Address - Country:US
Practice Address - Phone:732-232-0781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care