NPIMap

Organization Active NPI

Southland Health Care Center, LTD.

  • Mental Illness Intermediate Care Facility
  • Lufkin, TX
National Provider Identifier
1467435743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
111109 Issued in TX
Legal business name
SOUTHLAND HEALTH CARE CENTER, LTD.
Practice address
501 N Medford Dr
Lufkin, TX 75901-5219
Phone
(936) 639-1252
Fax
(936) 639-1455
NPI assigned
Nov 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Hulen Squyres
Title
L.L.C.-Partner
Phone
(936) 639-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 111109 TX Primary

Addresses

Primary practice location

501 N Medford Dr
Lufkin, TX 75901-5219

Mailing address

501 N Medford Dr
Lufkin, TX 75901-5219
Phone (936) 639-1252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020904000020 CA Part A Provider - Skilled Nursing Facility 3476460353 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norwalk, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467435743. Details of each certification follow.

Skilled nursing facility certification: CCN 555070

Legal name
SOUTHLAND MANAGMENT LLC
Doing business as
SOUTHLAND CARE CENTER & SOUTHLAND LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 15, 1977
Last certification
Mar 14, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Flagstone South LLC
Organization structure
LLCProprietary
Incorporated
Oct 30, 1999 in NV
Enrollment address
11701 Studebaker Rd
Norwalk, CA 90650-7544
Nursing home name
SOUTHLAND
Affiliated entity
THE ENSIGN GROUP

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
SouthlandCCN 555070 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 15, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.6 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
2Fines totaling $38,376

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Hung Manh Nguyen Individual Operational/Managerial Control Mar 13, 2017
Managing Control - Governing BodyMedical Director Mar 13, 2017
Adp of the SNF Jul 21, 2025
Southland Management, LLC Organization, San Clemente, CA LLC Adp of the SNF Dec 16, 1999
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 1, 2002
Adam Willits Individual Corporate OfficerSole Manager Jan 1, 2023
Twomagnets LLC Organization, Covina, CA LLC Operational/Managerial Control Dec 16, 1999
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC Direct Ownership Interest Jan 30, 2006 100%
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Dec 16, 1999
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Dec 16, 1999
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Dec 16, 1999
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
1-Call Staffing Services Organization, Anaheim, CA Corporation Operational/Managerial Control Dec 16, 1999
James Morrison Individual Operational/Managerial ControlAdmin of Southland Management Dec 24, 2008
Managing Control - Governing BodyAdministrator Dec 24, 2008
Adp of the SNF Jul 11, 2025
Soon Burnam Individual Corporate OfficerSecretary Southland Management LLC Jan 30, 2006
Adp of the SNF Jul 11, 2025

Owners & managing parties with NPI records 1

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

  • Hung M Nguyen, D.O.
    • Family Medicine Physician
    • Orange, CA
    • NPI 1447284526

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467435743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015219",
            "telephone_number": "936-639-1252",
            "fax_number": "936-639-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015219",
            "telephone_number": "936-639-1252",
            "fax_number": "936-639-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND HEALTH CARE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUYRES",
        "authorized_official_first_name": "HULEN",
        "authorized_official_title_or_position": "L.L.C.-PARTNER",
        "authorized_official_telephone_number": "936-639-1252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "TX",
            "license": "111109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.