Provider Demographics
NPI:1700342797
Name:CHAMPION, TROYA
Entity type:Individual
Prefix:MS
First Name:TROYA
Middle Name:
Last Name:CHAMPION
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:CHAMPION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CARING AT HOME,LLC
Mailing Address - Street 1:1041 E SCHUYLKILL RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7001
Mailing Address - Country:US
Mailing Address - Phone:610-990-2620
Mailing Address - Fax:
Practice Address - Street 1:ONE SCHUYLKILL PKWY BUILDING A SUITE 3
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:PA
Practice Address - Zip Code:19405
Practice Address - Country:US
Practice Address - Phone:610-990-2620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25133601374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029001190003Medicaid