LIFE CHAMPIONS, LLC; NPI #1194480087

Contact Information

LIFE CHAMPIONS, LLC

2007 LYNN RD
GREENSBORO, NC 27405-6519

Phone: 336-601-1967
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Mental Illness	320800000X
Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for LIFE CHAMPIONS, LLC

NPI #	`1194480087`
LBN Legal business name	LIFE CHAMPIONS, LLC
Authorized official	ARNOLD GAINES - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/04/2021
Last updated	06/15/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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