Healthcare Provider Details

I. General information

NPI: 1528986239
Provider Name (Legal Business Name): SOUTHLAND HOME CARE, LLC DBA ACTI-KARE RESPONSIVE IN-HOME CARE/SOUTH HOLLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10551 S CALUMET AVE
CHICAGO IL
60628-2836
US

IV. Provider business mailing address

10551 S CALUMET AVE
CHICAGO IL
60628-2836
US

V. Phone/Fax

Practice location:
  • Phone: 773-239-1340
  • Fax:
Mailing address:
  • Phone: 773-239-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TODD MATTHEWS
Title or Position: OWNER
Credential:
Phone: 773-239-1340