Healthcare Provider Details

I. General information

NPI: 1427760651
Provider Name (Legal Business Name): PEARSON HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 N PARKSIDE AVE
CHICAGO IL
60651-2652
US

IV. Provider business mailing address

958 N PARKSIDE AVE
CHICAGO IL
60651-2652
US

V. Phone/Fax

Practice location:
  • Phone: 773-407-3237
  • Fax:
Mailing address:
  • Phone: 773-407-3237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LATASHA SMITH
Title or Position: CEO
Credential:
Phone: 773-407-3237