SOUTHLAND MANAGEMENT LLC (NPI# 1821317231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821317231 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND MANAGEMENT LLC |
| Other Organization Name | SOUTHLAND ASSISTED LIVING |
| Practice Address |
11701 Studebaker Rd Norwalk CA 90650-7544 |
| Practice Telephone | 5628689761 |
| Practice Fax Number | 5628630336 |
| Mailing Telephone | 5628689761 |
| Mailing Fax Number | 5628630336 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2014-03-04 |
| Authorized Official Name | MRS. SOON BURNAM (AUTHORIZED AGENT) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 197 80 3017 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Southland Assisted Living | Doing Business As Name - Organization |
| Street Address |
11701 STUDEBAKER RD |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-7544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477558 | Southland Managment LLC | Skilled Nursing Facility | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2005-09-16 |
| 1508321506 | Tricia K Yokogawa | Occupational Therapist | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2019-02-04 |
| 1992269419 | Rochelle Duong | Occupational Therapist | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2019-01-29 |
| 1750815312 | Lauren Yoshikawa | Occupational Therapist | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2017-04-20 |
| 1558804831 | Roger Pavon | Physical Therapy Assistant | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2016-11-18 |
| 1063954345 | Jaynee March | Physical Therapy Assistant | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2016-11-17 |
| 1952843203 | Blanca Dixon | Occupational Therapy Assistant | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2016-11-17 |
| 1578005187 | Irene Berdote | Occupational Therapy Assistant | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2016-11-14 |
| 1386186005 | Paul Casto Jose Gutierrez | Speech-Language Pathologist | 11701 Studebaker Rd, Norwalk, CA 90650-7544 | 2016-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619295 | Anl Facility Home Inc | Assisted Living Facility | 12073 Highdale St, Norwalk, CA 90650-6629 | 2020-08-11 |
| 1821653957 | Norwalk Retirement Villa, LLC | Assisted Living Facility | 11515 Firestone Blvd, Norwalk, CA 90650-2804 | 2019-05-03 |
| 1871156828 | The Jewish Home for The Elderly of Fairfield County | Assisted Living Facility | 60 Gregory Blvd, Norwalk, CT 06855-2043 | 2019-04-16 |
| 1053804831 | The Legacy Senior Housing Investors, LLC | Assisted Living Facility | 2901 Cedar Street, Norwalk, IA 50211-9807 | 2018-06-07 |
| 1174986939 | Domart Board and Care | Assisted Living Facility | 13817 Domart Ave, Norwalk, CA 90650-3428 | 2016-03-30 |
| 1346415296 | Loving Arms Residential Care I | Assisted Living Facility | 14402 Helwig Ave, Norwalk, CA 90650-5022 | 2008-04-22 |
| 1841374881 | Crystal Properties Inc | Assisted Living Facility | 815 High Rd, Norwalk, IA 50211-1462 | 2006-10-25 |
| 1801493101 | Dream Care Home | Assisted Living Facility | 11838 163rd St, Norwalk, CA 90650-7234 | 2020-10-08 |
| 1427546316 | High Road Operations, LLC | Assisted Living Facility | 815 High Rd, Norwalk, IA 50211-1462 | 2018-04-25 |
| 1427503143 | Emblem Management LLC | Assisted Living Facility | 13817 Domart Ave, Norwalk, CA 90650-3428 | 2016-08-23 |
| Find all providers in NORWALK | ||||
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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.