SOUTHLAND NURSING HOME, LLC (NPI# 1114002227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114002227 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND NURSING HOME, LLC |
| Practice Address |
500 Shivers Ter Marion AL 36756-3534 |
| Practice Telephone | 3346836141 |
| Practice Fax Number | 3346836142 |
| Mailing Telephone | 3346836141 |
| Mailing Fax Number | 3346836142 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | CATHY LYNN SWANSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3346386141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N5302 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 47-5104-0S | 05 |
| Street Address |
500 SHIVERS TER |
| City | MARION |
| State | AL |
| Zip Code | 36756-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861934705 | Allen R Stata | Social Worker | 104 Edwards Drive, Marion, AL 36756 | 2016-11-09 |
| 1770600066 | Vaughan Regional Medical Center LLC | Clinic/Center | Highway 45 South, Route 2, Box 4-d, Marion, AL 36756 | 2007-03-23 |
| 1639219173 | Lora N. Mims | Nurse Practitioner | Rr 2, Box 4d, Hwy 45 S, Marion, AL 36756 | 2007-02-07 |
| 1568550721 | William Shane Lee | Family Medicine | Hwy 45 South Route 2, Marion Clinic, Marion, AL 36756 | 2006-10-11 |
| 1003910399 | David W. Gann | Dentist | 1533 Alabama Hwy. 5 South, Marion, AL 36756 | 2006-09-08 |
| 1114395852 | Ashley Wagner | Nurse Practitioner | 1303 Washington St, Marion, AL 36756 | 2015-09-11 |
| 1881777985 | Jimmy C Cleveland Sr. | Dentist | 213 Washington St, Marion, AL 36756-0235 | 2006-10-23 |
| 1376740779 | Perry County | Local Education Agency (LEA) | 200 W Monroe St, Marion, AL 36756-2228 | 2007-06-28 |
| 1215989629 | Tom S. Alsabrook | Counselor | 104 Edwards St, Marion, AL 36756-2304 | 2006-05-16 |
| 1265750582 | Robert Wayne Williams | Counselor | 104 Edwards St, Marion, AL 36756-2304 | 2010-05-11 |
| Find all providers in zip 36756 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1639680572 | Senior Care of Marion LLC | Skilled Nursing Facility | 2770 S Highway 501, Marion, SC 29571-7854 | 2017-10-18 |
| 1568735694 | Major Hospital | Skilled Nursing Facility | 614 W 14th Street, Marion, IN 46953-2158 | 2012-02-21 |
| 1215170832 | Bedford Care Center of Marion, LLC | Skilled Nursing Facility | 6434a Dale Dr, Marion, MS 39342-8704 | 2009-04-13 |
| 1134264542 | Guardian Angel Healthcare, Inc. | Skilled Nursing Facility | 6434 Dale Dr, Marion, MS 39342-8704 | 2007-02-21 |
| 1699856724 | Marion Nursing Center,inc | Skilled Nursing Facility | 2770 South Highway 501, Marion, SC 29571 | 2006-10-17 |
| 1598866063 | Orion Marion LLC | Skilled Nursing Facility | 201 Watson St, Marion, KY 42064-1824 | 2006-09-26 |
| 1922103589 | Marion Rehabilitation and Nursing Center,llc | Skilled Nursing Facility | 1301 E Deyoung St, Marion, IL 62959-3846 | 2006-09-14 |
| 1396856829 | Perry Cty Hospital Assn | Skilled Nursing Facility | 505 E Lafayette St, Marion, AL 36756-2323 | 2006-08-31 |
| 1982711321 | Riverview Hospital | Skilled Nursing Facility | 729 W 35th St, Marion, IN 46953-4215 | 2006-08-23 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.