Organization Active NPI

Champion House LLC

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1982548079
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHAMPION HOUSE LLC
Practice address
9848 E Idaho Ave
Mesa, AZ 85209-7078
Phone
(520) 613-6188
NPI assigned
Apr 17, 2026
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Mrs. Tia Beckford Cohall
Title
Ceo
Phone
(480) 270-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

9848 E Idaho Ave
Mesa, AZ 85209-7078

Mailing address

9848 E Idaho Ave
Mesa, AZ 85209-7078
Phone (520) 613-6188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1982548079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 E IDAHO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097078",
            "telephone_number": "520-613-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 E IDAHO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097078",
            "telephone_number": "520-613-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "BECKFORD COHALL",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-270-1411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.