South Holland Home, LLC
NPI 1053768150 · Assisted Living Facility · South Holland, IL
South Holland Home, LLC is a Assisted Living Facility organization in South Holland, IL (NPI 1053768150).
Provider details
- NPI number
- 1053768150
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Israel, Manager(847) 440-2660
- License
- 2208602 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Holland Home
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2016-05-18
Frequently asked questions
- What is South Holland Home, LLC's NPI number?
- South Holland Home, LLC's National Provider Identifier (NPI) is 1053768150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Holland Home, LLC?
- South Holland Home, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is South Holland Home, LLC located?
- South Holland Home, LLC's practice location on file with NPPES is 16300 Louis Ave, South Holland, IL 60473-2281.
- What is South Holland Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Holland Home, LLC is (708) 596-3050.
- Who is the authorized official for South Holland Home, LLC?
- The authorized official listed on South Holland Home, LLC's NPPES record is Benjamin Israel, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Holland Home, LLC's NPI active?
- Yes — South Holland Home, LLC's NPI (1053768150) is active in the NPPES registry as of the last update on 2016-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.