1033264619 CHAMPAIGN RESIDENTIAL SERVICES, INC.

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
CHAMPAIGN RESIDENTIAL SERVICES, INC.
Enumeration Date
January 24, 2007
Last Update
August 22, 2020
Authorized Official
MR. THAN JOHNSON
CHIEF EXECUTIVE OFFICER
Phone: (937) 653-1320

Practice Location

Address
1150 SCIOTO ST
SUITE 100
URBANA, OH 430782289
Phone
(937) 653-1320
Fax
(937) 653-1321

Mailing Address

Address
PO BOX 29
URBANA, OH 430780029
Phone
(937) 653-1320
Fax
(937) 653-1321

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1100114 01 OH WAIVER BILLING PROVIDER #
0850637 05 OH N/A

Frequently Asked Questions

What is CHAMPAIGN RESIDENTIAL SERVICES, INC.'s NPI number?
CHAMPAIGN RESIDENTIAL SERVICES, INC.'s NPI number is 1033264619.
Which doctor has NPI number 1033264619?
The doctor with NPI number 1033264619 is CHAMPAIGN RESIDENTIAL SERVICES, INC..
What is CHAMPAIGN RESIDENTIAL SERVICES, INC.'s practice address?
CHAMPAIGN RESIDENTIAL SERVICES, INC.'s practice address is 1150 SCIOTO ST, SUITE 100, URBANA, OH, 430782289.
Which doctor practices at 1150 SCIOTO ST, SUITE 100, URBANA, OH, 430782289?
CHAMPAIGN RESIDENTIAL SERVICES, INC. practices at 1150 SCIOTO ST, SUITE 100, URBANA, OH, 430782289.
What is CHAMPAIGN RESIDENTIAL SERVICES, INC.'s mailing address?
CHAMPAIGN RESIDENTIAL SERVICES, INC.'s mailing address is PO BOX 29, URBANA, OH, 430780029.
What is CHAMPAIGN RESIDENTIAL SERVICES, INC.'s phone number?
CHAMPAIGN RESIDENTIAL SERVICES, INC.'s phone number is (937) 653-1320.
Who is (937) 653-1320?
(937) 653-1320 is the phone number for CHAMPAIGN RESIDENTIAL SERVICES, INC..
What is CHAMPAIGN RESIDENTIAL SERVICES, INC.'s specialty?
CHAMPAIGN RESIDENTIAL SERVICES, INC.'s specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is CHAMPAIGN RESIDENTIAL SERVICES, INC.?
CHAMPAIGN RESIDENTIAL SERVICES, INC. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is CHAMPAIGN RESIDENTIAL SERVICES, INC. a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, CHAMPAIGN RESIDENTIAL SERVICES, INC. is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is CHAMPAIGN RESIDENTIAL SERVICES, INC. still practicing?
Yes, CHAMPAIGN RESIDENTIAL SERVICES, INC. is currently practicing.
Is CHAMPAIGN RESIDENTIAL SERVICES, INC. accepting new patients?
CHAMPAIGN RESIDENTIAL SERVICES, INC. may be accepting new patients. Please call their office at (937) 653-1320 to inquire about availability.
Is NPI 1033264619 still active?
Yes, NPI 1033264619 is currently active.
Where does CHAMPAIGN RESIDENTIAL SERVICES, INC. practice?
CHAMPAIGN RESIDENTIAL SERVICES, INC. practices in URBANA, OH.