Search icon

Champion Care, LLC

Company claim

Is this your business?

Get access!

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
CAGE Code:
9WFS8
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

NPI Number:
1568193175
Certification Date:
2022-01-20

Authorized Person:

Name:
SAMANTHA N SMITH
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-14 Annual Report For Champion Care, LLC
Annual Report LLC Filed 2024-05-01 Annual Report For Champion Care, LLC
Annual Report LLC Filed 2023-03-17 Annual Report For Champion Care, LLC
Amendment Form Filed 2022-12-31 Amendment For Champion Care, LLC
Formation Form Filed 2022-01-11 Formation For Champion Care, LLC

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 15 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website