A CHAMPION HOME & COMMUNITY SERVICES — NPI 1609140920 (Licensed & Credentialed Foster Care Agency in DESOTO, TX)

CMS-1500 Box 24J / 33a • NPI

1609140920

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

253J00000X

Licensed & Credentialed Foster Care Agency

Box 32 Service Location & ZIP+4

119 EXECUTIVE WAY STE 303, DESOTO, TX, 75115-2341

✓ 9-Digit EDI 837 ZIP+4 (75115-2341)

Practice Phone & Referral Fax

(469) 463-3054

Fax: (214) 306-6035

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1609140920 (A CHAMPION HOME & COMMUNITY SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1609140920` (NPI-2 Organization / Facility)
Provider / Legal Name	A CHAMPION HOME & COMMUNITY SERVICES
Plain-English Specialty	Licensed & Credentialed Foster Care Agency NUCC Code: `253J00000X` (Foster Care Agency)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	119 EXECUTIVE WAY STE 303, DESOTO, TX, 75115-2341
Practice Telephone / Fax	Tel: (469) 463-3054 \| Fax: (214) 306-6035
Administrative Mailing Address	119 EXECUTIVE WAY STE 303, DESOTO, TX, 75115-2341
Enumeration & Last Sync	Enumerated: 2012-03-05 \| CMS Record Updated: 2024-03-19
Authorized Official	TRACE HENDERSOM (Program Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

119 EXECUTIVE WAY STE 303, DESOTO, TX, 75115-2341

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Plain-English Taxonomy & CMS Crosswalk (253J00000X)

What Does Taxonomy Code 253J00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 253J00000X translates to:
"Licensed & Credentialed Foster Care Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Foster Care Agency for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A CHAMPION HOME & COMMUNITY SERVICES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`253J00000X` — Foster Care Agency Plain English: Licensed & Credentialed Foster Care Agency	State: TX \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A CHAMPION HOME & COMMUNITY SERVICES (NPI #1609140920)