Southland College Prep Charter School Inc

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOUTHLAND COLLEGE PREP CHARTER SCHOOL INC

Practice address

4601 Sauk TRL
Richton Park, IL 60471-1470

Phone

(708) 748-8105

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Craig Englert

Title

Chief Financial Officer

Phone

(708) 833-4127

Specialties & licenses 1

Addresses

Other names 1

• Southland College Prep Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaimie L Goodley

  • School Psychologist
  • Olympia Fields, IL
  • NPI 1881245868
  NPD
• Iyuna Harris, MOT

  • Speech-Language Pathologist
  • Flossmoor, IL
  • NPI 1144576430
  NPD

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1962125237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711470",
            "telephone_number": "708-748-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711470",
            "telephone_number": "708-748-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND COLLEGE PREP CHARTER SCHOOL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "ENGLERT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "708-833-4127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland College Prep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert B Smith, D.D.S.
• Snyder Eye Care, P.C.
• Kyle Daniel Snyder, O.D.
• Sought After Care Centers NFP
• Soul Werk Cafe PLLC
• Speak Hue
• Starr Care Home Healthcare LLC
• Starrangels Home Healthcare
• Rachel L Steward
• Eric Stobie, LMCH, LPC

• Local Education Agency (LEA) in Richton Park, IL
• Providers in Richton Park, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.