South Holland Home, LLC
NPI 1053768150ActiveOrganization· Assisted Living Facility· South Holland, IL
Assisted Living Facility in South Holland, Illinois, registered in NPPES in May 2016. The authorized official on file is Benjamin Israel, Manager.
Overview
| NPI | 1053768150 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2016 |
| Last updated in NPPES | May 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 2208602 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Assisted Living Facility providers in South Holland
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