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Champion Care, LLC
Company Details
Name: |
Champion Care, LLC |
Jurisdiction: |
MISSISSIPPI |
Business Type: |
Limited Liability Company |
Status: |
Good Standing
|
Effective Date: |
11 Jan 2022 (4 years ago)
|
Business ID: |
1319151 |
ZIP code: |
39158
|
County: |
Madison |
State of Incorporation: |
MISSISSIPPI |
Principal Office Address: |
611 South Pear Orchard, 41RIDGELAND, MS 39158 |
Agent
Name |
Role |
Address |
Bobbye Clark
|
Agent
|
535 Sweet Gum Bottom Road, Meridian, MS 39301
|
Manager
Name |
Role |
Address |
Samantha Smith
|
Manager
|
PO Box 41, Ridgeland, MS 39158
|
Unique Entity ID
Unique Entity ID:
F1V1AZTFMQB5
UEI Expiration Date:
2026-05-19
Business Information
Division Name:
CHAMPION CARE, LLC
Activation Date:
2025-05-21
Initial Registration Date:
2024-05-05
National Provider Identifier
Certification Date:
2022-01-20
Authorized Person:
Taxonomy:
Selected Taxonomy:
363L00000X - Nurse Practitioner
Contacts:
This company hasn't received any reviews.
Date of last update: 15 Jul 2025
Sources:
Company Profile on Mississippi Secretary of State Website