NPIMap

Organization Active NPI

Liberty County Hospital District No.1

Doing business as Southland Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Lufkin, TX
National Provider Identifier
1639314560
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIBERTY COUNTY HOSPITAL DISTRICT NO.1
Doing business as
Southland Rehabilitation and Healthcare Center
Practice address
501 North Medford Drive
Lufkin, TX 75901-5219
Phone
(936) 639-1252
Fax
(936) 639-1455
NPI assigned
Dec 5, 2008
Last updated
May 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Authorized official

Name
Ms. Soon Burnam
Title
Authorized Official
Phone
(939) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

501 North Medford Drive
Lufkin, TX 75901-5219

Mailing address

501 North Medford Drive
Lufkin, TX 75901-5219
Phone (936) 639-1252

Other names 1

  • Southland Rehabilitation and Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150806012691 TX Part A Provider - Skilled Nursing Facility 3678766227 Practice locations: Lufkin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639314560. Details of each certification follow.

Skilled nursing facility certification: CCN 675962

Legal name
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Doing business as
SOUTHLAND REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 6, 2003
Last certification
Nov 6, 2024
Beds
150
Ownership / control type
Corporation
Multi-facility organization
Keystone
Organization structure
OtherNon-profit
Enrollment address
501 N Medford Dr
Lufkin, TX 75901-5219
Nursing home name
SOUTHLAND REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Southland Rehabilitation and Healthcare CenterCCN 675962 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 6, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15067.1 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
2Fines totaling $188,884

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ldrmc Professional Services41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jan 1, 2009
Charles Bruce Stratton Individual Corporate OfficerPresident Liberty Co Hospital No 1 Feb 7, 2005
Liberty County Hospital District No 1 Organization, Liberty, TX 5% Or Greater Direct Ownership Interest May 1, 2015 100%
Piney Lufkin Healthcare, Inc. Organization, Lufkin, TX Corporation Operational/Managerial Control May 1, 2015
Adp of the SNF Nov 5, 2025
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF May 1, 2015
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF May 1, 2015
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF May 1, 2015
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Carlton J Lewis Individual Operational/Managerial Control Nov 18, 2015
Managing Control - Governing BodyMedical Director Nov 18, 2015
Adp of the SNF Nov 18, 2015
Lufkin Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF May 1, 2015
Patrick Glazebrook Individual Operational/Managerial Control May 1, 2015
Managing Control - Governing BodyAdministrator May 1, 2015
Adp of the SNF May 1, 2015
Soon Burnam Individual Corporate OfficerSecretary of Management Company May 1, 2015

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 37

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liberty Dayton Regional Medical CenterLiberty, TX, CCN 451375 Hospital Operational/Managerial Control Oct 1, 2014
Liberty Dayton Regional Medical CenterLiberty, TX, CCN 45Z375 Hospital Operational/Managerial Control Oct 1, 2014
Cascades at Senior RehabPort Arthur, TX, CCN 675541 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Jefferson Nursing and Rehabilitation CenterBeaumont, TX, CCN 676218 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 30, 2014
Jan 1, 2015
Mar 21, 2025
College Street Health Care CenterBeaumont, TX, CCN 675695 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
The Phoenix Post-AcuteTexas City, TX, CCN 675743 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Timberwood Nursing and Rehabilitation CenterLivingston, TX, CCN 455745 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Bremond Nursing and Rehabilitation CenterBremond, TX, CCN 675132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Pine Grove Nursing CenterCenter, TX, CCN 675230 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Briarcliff Skilled Nursing FacilityCarthage, TX, CCN 676051 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Colonial Pines Healthcare CenterSan Augustine, TX, CCN 675358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Cass Valley Healthcare CenterCenterville, TX, CCN 675065 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2017
Harbor Point Skilled NursingTexas City, TX, CCN 675214 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Heights of TomballTomball, TX, CCN 676350 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Heights of TylerTyler, TX, CCN 676262 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at North HoustonHouston, TX, CCN 676356 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
East View HealthcareHouston, TX, CCN 676081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Mason Creek Transitional Care of KatyKaty, TX, CCN 676194 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Copperfield Healthcare and RehabilitationHouston, TX, CCN 676230 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Misty Willow Healthcare and Rehabilitation CenterHouston, TX, CCN 676251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation-Northwest HoustonHouston, TX, CCN 676137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avalon Place KirbyvilleKirbyville, TX, CCN 675220 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Courtyards at PasadenaPasadena, TX, CCN 676155 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Bridgecrest Rehabilitation SuitesHouston, TX, CCN 676362 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
River Pointe of Trinity Healthcare and Rehabilitation CenterTrinity, TX, CCN 675900 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2021
Legacy at Town CreekPalestine, TX, CCN 675998 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Pasadena Post AcutePasadena, TX, CCN 675365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
Whisperwood Nursing & Rehabilitation CenterLubbock, TX, CCN 675527 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Vidor Health & Rehabilitation CenterVidor, TX, CCN 676108 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Fairfield Nursing & Rehabilitation CenterFairfeild, TX, CCN 676123 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Greenbrier Nursing & Rehabilitation Center of TylerTyler, TX, CCN 675267 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Twin Oaks Health & Rehabilitation CenterJacksonville, TX, CCN 675183 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Caprock Nursing & RehabilitationBorger, TX, CCN 676341 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Five Points Nursing and RehabilitationAmarillo, TX, CCN 676455 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Pine Tree Lodge Nursing CenterLongview, TX, CCN 675177 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Mesa Hills Post AcuteBrownsville, TX, CCN 455423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Liberty Dayton Medical ClinicLiberty, TX, CCN 673428 Rural health clinic Operational/Managerial Control May 4, 2015

Facilities with the same owner 37

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

View all 37

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": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1639314560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NORTH MEDFORD DRIVE",
            "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 NORTH MEDFORD DRIVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015219",
            "telephone_number": "936-639-1252",
            "fax_number": "936-639-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COUNTY HOSPITAL DISTRICT NO.1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "939-540-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southland Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southland Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.