Organization Active NPI

Southland Nursing Home, LLC

  • Skilled Nursing Facility
  • Marion, AL
National Provider Identifier
1114002227
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N5302 Issued in AL
Legal business name
SOUTHLAND NURSING HOME, LLC
Practice address
500 Shivers Ter
Marion, AL 36756-3534
Phone
(334) 683-6141
Fax
(334) 683-6142
NPI assigned
Oct 26, 2006
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Cathy Lynn Swanson
Title
Administrator
Phone
(334) 638-6141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N5302 AL Primary

Addresses

Primary practice location

500 Shivers Ter
Marion, AL 36756-3534

Mailing address

500 Shivers Ter
Marion, AL 36756-3534
Phone (334) 683-6141

Other identifiers 1

IdentifierTypeStateIssuer
47-5104-0SMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000464 AL Part A Provider - Skilled Nursing Facility 0143121749 Practice locations: Marion, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114002227. Details of each certification follow.

Skilled nursing facility certification: CCN 015104

Legal name
SOUTHLAND NURSING HOME LLC
Doing business as
SOUTHLAND NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 19, 1970
Last certification
Apr 22, 2021
Beds
91
Ownership / control type
Corporation
Multi-facility organization
SASSER ENTERPRISES
Most recent change of ownership
Jan 1, 2004
Organization structure
LLCProprietary
Enrollment address
500 Shivers Ter
Marion, AL 36756-3534
Nursing home name
SOUTHLAND NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Southland Nursing HomeCCN 015104 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 19, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9165.2 residents per day on average
Penalties (3 years)
1Fines totaling $5,244

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0306212Southland Nursing Home500 Shivers Terrace, Marion, AL 36756Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Lee Individual Operational/Managerial Control Jun 16, 2025
Adp of the SNF Jun 16, 2025
Quality Care Rehab Inc Organization, Homosassa, FL Corporation, Medical provider/supplier, For-profit Operational/Managerial Control Nov 18, 2013
Adp of the SNF Apr 11, 2025
Organization, Marion, AL Corporation, For-profit Adp of the SNF Jan 1, 2004
Sheila H. Sasser Individual Corporate Director Jan 1, 2004 52%
Indirect Ownership Interest Dec 19, 2003 52%
Sasser Enterprises Inc Organization, Andalusia, AL Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jan 1, 2004
Adp of the SNF Aug 25, 2025
Direct Ownership Interest Jan 1, 2004 100%
Organization, Marion, AL Corporation, Financial institution Adp of the SNF Apr 11, 2025
Organization, Oneonta, AL LLC, Consulting firm, For-profit Adp of the SNF Apr 11, 2025
Sterling L. Sasser Individual Indirect Ownership Interest Jan 1, 2004 12%
Sallee Sasser Williams Individual Operational/Managerial Control Jan 5, 2024
Managing Control - Governing Body Jan 1, 2004
Adp of the SNF Jan 5, 2024
Indirect Ownership Interest Jan 1, 2004 12%
Mary Ann Bennett Individual Operational/Managerial Control Jan 7, 1998
Joe Street Individual Adp of the SNF Jan 1, 2018
Stetson L. Sasser Individual Indirect Ownership Interest Jan 1, 2004 12%
Stallion L. Sasser Individual Operational/Managerial Control Jan 1, 2004
Managing Control - Governing BodyManaging Member Jan 1, 2004
Indirect Ownership Interest Jan 1, 2004 12%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1114002227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SHIVERS TER",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367563534",
            "telephone_number": "334-683-6141",
            "fax_number": "334-683-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SHIVERS TER",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367563534",
            "telephone_number": "334-683-6141",
            "fax_number": "334-683-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-638-6141"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N5302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-5104-0S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AL

Sources for this page

Verify at the official NPI Registry.