Southland Care Coordination Partners, Inc.
NPI 1952957698ActiveOrganization· Nurse Practitioner, Family· Matteson, IL
Nurse Practitioner, Family in Matteson, Illinois, registered in NPPES in August 2019. The authorized official on file is Ann Assam, PHAMD, Treasurer.
Overview
| NPI | 1952957698 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2019 |
| Last updated in NPPES | May 12, 2021 |
| Certified by provider | May 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Case Management | 251B00000X | — | — |
| Home Health | 251E00000X | — | — |
| Transportation Broker | 347E00000X | — | — |
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 |
|---|
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