Southland Health Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTHLAND HEALTH CARE CENTER INC

Practice address

722 S Dargan St
Florence, SC 29506-2559

Phone

(843) 669-4403

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMANDER HEALTH CARE FACILITIES, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Commander

Title

Administrator

Phone

(843) 669-4403

Specialties & licenses 3

Addresses

Part of

Commander Health Care Facilities Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Commander Health Care Facilities, Inc.

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1588621809
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1073260048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062559",
            "telephone_number": "843-669-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND HEALTH CARE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMANDER HEALTH CARE FACILITIES, INC.",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "COMMANDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-669-4403"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Medical
• Southern Support Services
• Southern Support Services, LLC
• Southerncare, Inc. (SouthernCare Florence)
• Southland Operator LLC (Southland Health Care Center)
• Jefferson Krawulski Souza, CRNA
• Kristen Spang, MS, RDN, LD
• Jeremy Sparkman
• Zeyn Steven Sparks White, MD

• Skilled Nursing Facility in Florence, SC
• Providers in Florence, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.