Southland Care Coordination Partners, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHLAND CARE COORDINATION PARTNERS, INC.

Practice address

600 Holiday Plaza Dr Ste 230
Matteson, IL 60443-3094

Phone

(708) 996-4000

Fax

(708) 898-0142

NPI assigned

Sep 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Andre McClerklin

Title

President/Coo

Phone

(708) 996-4000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891214730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR STE 230",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433094",
            "telephone_number": "708-996-4000",
            "fax_number": "708-898-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR STE 230",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433094",
            "telephone_number": "708-996-4000",
            "fax_number": "708-898-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND CARE COORDINATION PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCLERKLIN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "708-996-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miah Raven Symone Smith
• Tiffani Smith, LPC
• Victoria B Smith
• Karen A Sobieraj, MSW LCSW BCD
• Augustine Sohn, LCSW
• Southland Care Coordination Partners, Inc.
• Zoe R Spada, DPT
• Special Care Transportaion
• Kimberly Patrice Spivey, LCSW
• Toni L Spraggins, CMT

• Case Management Agency in Matteson, IL
• Providers in Matteson, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.