SOUTHLAND HEALTH CARE CENTER, LTD. (NPI# 1467435743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467435743 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND HEALTH CARE CENTER, LTD. |
| Practice Address |
501 N Medford Dr Lufkin TX 75901-5219 |
| Practice Telephone | 9366391252 |
| Practice Fax Number | 9366391455 |
| Mailing Telephone | 9366391252 |
| Mailing Fax Number | 9366391455 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HULEN SQUYRES (L.L.C.-PARTNER) |
| Authorized Official Telephone | 9366391252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 111109 | TX | Nursing & Custodial Care Facilities |
| Street Address |
501 N MEDFORD DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75901-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245712819 | Clintin Spencer Wallace | Occupational Therapy Assistant | 501 N Medford Dr, Lufkin, TX 75901-5219 | 2018-08-30 |
| 1649750779 | Jennifer Lynn Burson | Occupational Therapy Assistant | 501 N Medford Dr, Lufkin, TX 75901-5219 | 2018-08-17 |
| 1669552113 | P & S Healthcare Lp | Skilled Nursing Facility | 501 N Medford Dr, Lufkin, TX 75901-5219 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485176 | Dana Caroline Carter | Physical Therapist | 211 South Timberland, Lufkin, TX 75901 | 2017-09-05 |
| 1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
| 1225316417 | Anupama Singh Thapar | Dentist | 1809 Tulane Dr, Aspen Dental, Lufkin, TX 75901 | 2011-07-22 |
| 1679889901 | A 2 Y Investments | Durable Medical Equipment & Medical Supplies | 5038 Champions Drive, Lufkin, TX 75901 | 2010-08-24 |
| 1477731321 | Anita K Scoggins | Speech-Language Pathologist | 4100 S Medford Dr Ste 208, Lufkin, TX 75901 | 2008-02-02 |
| 1891982104 | Assisted Living Concepts Inc | Assisted Living Facility | 406 Gobblers Knob Road, Lufkin, TX 75901 | 2007-10-01 |
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1609941921 | Norman Allan Beard | Hearing Instrument Specialist | 2001 N Timberland Dr., Lufkin, TX 75901 | 2006-11-21 |
| 1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
| 1689634495 | Charles Bryan Pool | Chiropractor | 1400 E Denman Avenue, Lufkin, TX 75901 | 2006-03-24 |
| Find all providers in zip 75901 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1710932462 | Treeline Living Center Ltd | Intermediate Care Facility, Mental Illness | 2404 N Medford Dr, Lufkin, TX 75901-3452 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741602 | Yvette S Amador | Intermediate Care Facility, Mental Illness | 9300 Aubrey Ct, Fort Worth, TX 76140-5169 | 2019-07-11 |
| 1598213878 | Harmony Living Centers Inc | Intermediate Care Facility, Mental Illness | 101 Rosebud Dr, Marshall, TX 75672-3371 | 2016-09-15 |
| 1609136944 | James E. Ryan | Intermediate Care Facility, Mental Illness | 5322 22nd St, Lubbock, TX 79407-2117 | 2012-05-21 |
| 1689962508 | City Crown Php Inc | Intermediate Care Facility, Mental Illness | 2626 Raven Falls Ln, Friendswood, TX 77546-6072 | 2011-07-12 |
| 1548586720 | Mental Health Facility | Intermediate Care Facility, Mental Illness | 556 Buffalo Creek Dr, Desoto, TX 75115-5328 | 2010-04-13 |
| 1518296698 | Hannah's Place A Home With Love | Intermediate Care Facility, Mental Illness | 12251 Running Bird Ln, Austin, TX 78758-2633 | 2009-12-18 |
| 1609077205 | Newstart Inc. | Intermediate Care Facility, Mental Illness | 4503 Palomino Ct, Arlington, TX 76017-1592 | 2007-05-30 |
| 1508072000 | Fe Care Inc | Intermediate Care Facility, Mental Illness | 19365 Fm 2252, Suite 9, Garden Ridge, TX 78266-2566 | 2007-05-14 |
| 1326252750 | Specialized Home Life | Intermediate Care Facility, Mental Illness | 12302 Gran Vista St, San Antonio, TX 78233-5927 | 2007-05-08 |
| 1285757385 | Special Texas Homes, Inc. | Intermediate Care Facility, Mental Illness | 2301 Olive Cir, Baytown, TX 77520-5775 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
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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.