MEDICARE: CHAMPION COMMUNITY CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225746183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMPION COMMUNITY CARE, LLC

Provider Business Mailing Address
First Line	:	4804 ALANDALE DR
Second Line	:
City	:	FOREST HILL
State	:	TX
Zip	:	76119-7508
Country	:	US
Telephone Number	:	682-302-4267
Fax Number	:	682-703-1080

Provider Business Practice Location Address
First Line	:	3869 SOUTH FWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-5600
Country	:	US
Telephone Number	:	682-302-4267
Fax Number	:	682-703-1080

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	GLORIA JEAN SINGLETON
Credential	:
Telephone Number	:	682-302-4267

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	06/19/2023

Similar Medicare Providers

1922460898 — CHRISTOPHER NEWTON
Practice Location Address:

5600 WEDGWORTH RD
FORT WORTH, TX
76133-2875

Practice Phone: 334-332-4788
Practice Fax:

1255809406 — JEREMY JAMES LANNING LPC
Practice Location Address:

3309 WINTHROP AVE STE 99
FORT WORTH, TX
76116-5600

Practice Phone: 817-703-7469
Practice Fax:

1326512039 — CREATIVE INSIGHT COUNSELING
Practice Location Address:

3309 WINTHROP AVE STE 76
FORT WORTH, TX
76116-5600

Practice Phone: 206-226-4249
Practice Fax:

1831655539 — J SANTANA INC
Practice Location Address:

5600 MOUNT STORM WAY
FORT WORTH, TX
76179-4437

Practice Phone: 817-716-4754
Practice Fax:

1699415844 — SOMA CHIROPRACTIC PC
Practice Location Address:

5600 BOVINE DR APT 9107
FORT WORTH, TX
76244-0047

Practice Phone: 787-236-7917
Practice Fax:

1407575319 — ELIZABETH ROSE BOWEN LCSW
Practice Location Address:

5600 BLACKMON CT
FORT WORTH, TX
76137-3773

Practice Phone: 214-205-0596
Practice Fax:

Directions to “CHAMPION COMMUNITY CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.