Southland Operator LLC
Skilled Nursing Facility in Florence, SC. Organization (NPI-2).
NPI number1316601958
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1316601958
- Entity type
- Organization (NPI-2)
- Legal business name
- Southland Operator LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Southland Health Care Center (Doing Business As)
Practice location
722 S Dargan StFlorence, SC 29506-2559
Phone 843-669-4403 · Fax 843-669-4534
Mailing address
14c 53rd St Ste 220Brooklyn, NY 11232-2644
Authorized official
Sam Stern
Cfo
8775670402
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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