Organization · Type 2 NPI

Southern Hills Rehab Center, LLC

Skilled Nursing Facility · Tulsa, OK

NPI number 1801287982 Active

Practice location

5170 S Vandalia Ave
Tulsa, OK 74135-4079

Fax (918) 496-0774

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility	313M00000X	None listed
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

8 other providers at this address

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NPI record

NPI: 1801287982
Entity type: Organization (Type 2)
Issued: Feb 11, 2015
Last updated: May 13, 2021
Status: Active

Other names

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Southern Hills Rehabilitation Center · doing business as
Southern Hills Rehabilitation Center · doing business as
Heathcare Management of Oklahoma, LLC · former legal business name

Authorized official

Lance Baller
CEO
(303) 449-2100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801287982

Southern Hills Rehab Center, LLC's National Provider Identifier is 1801287982, issued on Feb 11, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Tulsa, OK. The record was last updated on May 13, 2021.