Healthcare Provider Details

I. General information

NPI: 1629864988
Provider Name (Legal Business Name): CHAMPION CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SCOTCH RD
EWING NJ
08628-2500
US

IV. Provider business mailing address

10000 LINCOLN DR E STE 201
EVESHAM NJ
08053-3105
US

V. Phone/Fax

Practice location:
  • Phone: 732-228-9226
  • Fax:
Mailing address:
  • Phone: 732-228-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE NICOLE SHERARD
Title or Position: OWNER
Credential:
Phone: 732-228-9226