Organization Active NPI

Champion Health Services, Inc

  • Non-Pharmacy Dispensing Site
  • Port Saint Lucie, FL
National Provider Identifier
1184960445
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
6040 Issued in CA
Legal business name
CHAMPION HEALTH SERVICES, INC
Practice address
11958 SW Tom Mackie Blvd Ste 115
Port Saint Lucie, FL 34987-6556
Phone
(772) 249-0556
NPI assigned
Dec 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Erika Hoffman
Title
Coo
Phone
(714) 451-8425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 6040 CA Primary

Addresses

Primary practice location

11958 SW Tom Mackie Blvd Ste 115
Port Saint Lucie, FL 34987-6556

Mailing address

11958 SW Tom Mackie Blvd Ste 115
Port Saint Lucie, FL 34987-6556
Phone (772) 249-0556

National Provider Directory

National Provider Directory

Locations

11958 SW Tom Mackie Blvd
Ste 115
Port Saint Lucie, FL 34987
Phone (772) 249-0556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1184960445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11958 SW TOM MACKIE BLVD STE 115",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349876556",
            "telephone_number": "772-249-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11958 SW TOM MACKIE BLVD STE 115",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349876556",
            "telephone_number": "772-249-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "714-451-8425",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "6040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.