OrganizationActive
A Champion Home & Community Services
NPI 1609140920 · Foster Care Agency · Desoto, TX
Provider details
- NPI number
- 1609140920
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Authorized official
- Trace Hendersom, Program Manager
Practice location
119 Executive Way Ste 303
Desoto, TX 75115-2341
Phone: (469) 463-3054
Fax: (214) 306-6035
Mailing address
119 Executive Way Ste 303
Desoto, TX 75115-2341
Registry dates
- Enumerated
- 2012-03-05
- Last updated
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.