NPIMap

Organization Active NPI

Southland Operator LLC

  • Skilled Nursing Facility
  • Florence, SC
National Provider Identifier
1316601958
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTHLAND OPERATOR LLC
Practice address
722 S Dargan St
Florence, SC 29506-2559
Phone
(843) 669-4403
Fax
(843) 669-4534
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Sam Stern
Title
Cfo
Phone
(877) 567-0402

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

722 S Dargan St
Florence, SC 29506-2559

Mailing address

14C 53Rd St Ste 220
Brooklyn, NY 11232-2644

Other names 1

  • Southland Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220427002945 SC Part A Provider - Skilled Nursing Facility 3274920970 Practice locations: Florence, SC

Skilled nursing facility certification: CCN 425157

Legal name
SOUTHLAND OPERATOR LLC
Doing business as
SOUTHLAND HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 6, 1986
Last certification
Oct 11, 2024
Beds
88
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Angel Oak Healthcare
Organization structure
LLCProprietary
Incorporated
Jul 28, 2021 in DE
Enrollment address
722 S Dargan St
Florence, SC 29506-2559
Nursing home name
SOUTHLAND HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Southland Health Care CenterCCN 425157
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 6, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8881.6 residents per day on average

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
42D0946446Southland Operator LLC Dba Southland Health722 S Dargan Street, Florence, SC 29506Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Hillel D Weiss Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022
Azriel Inzelbuch Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022
Samuel Stern Individual Corporate OfficerCfo Mar 1, 2022
Southland Operator Holdco, LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Direct Ownership Interest Mar 1, 2022 100%
Yaakov G Tropper Individual 5% Or Greater Indirect Ownership InterestCeo Mar 1, 2022
Charles S Commander Individual W-2 Managing EmployeeAdministrator Mar 1, 2022
Dasay 2019 Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Mar 1, 2022
Gamta 2020 Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Mar 1, 2022

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1316601958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST STE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644"
        },
        {
            "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",
            "fax_number": "843-669-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.