SOUTHERN HILLS ASSISTED LIVING
NPI 1285117150
Assisted Living Facility in Tulsa, OK

Q: What is Southern Hills Retirement Center, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 07, 2018

5170 S VANDALIA AVE, TULSA, OK 74135(918) 496-3963(918) 496-0774 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Hills Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN HILLS ASSISTED LIVING (NPI 1285117150) is a healthcare organization registered as an assisted living facility in Tulsa, Oklahoma and active in the NPI registry since September 2018. The organization lists Zvi Rhine, Manager, as its authorized official.

NPPES Registry Identity

NPI1285117150

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSOUTHERN HILLS RETIREMENT CENTER, LLC

Location Address5170 S VANDALIA AVETulsa, OK 74135-4079

Mailing Address5170 S Vandalia AveTulsa, OK 74135-4079 · (918) 496-3963 · Fax (918) 496-0774

Phone(918) 496-3963

Fax(918) 496-0774

Organization SubpartNo

Authorized OfficialZvi RhineManager · (423) 877-2024

Enumeration DateSeptember 7, 2018

✔ NPI 1285117150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

5170 S VANDALIA AVE, Tulsa, OK 74135

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Other Names 1

Doing Business AsSouthern Hills Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2189677

Southern Hills Rehab Center · Tulsa, OK

Expired · Aug 3, 2026

CLIA Number37D2189677

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 4, 2024

Certificate Expiration DateAugust 3, 2026

Laboratory DirectorJessica L. Hudson

Laboratory Phone(918) 496-3963

Laboratory LocationSouthern Hills Rehab Center5170 S Vandalia Ave, Tulsa, OK 74135

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOU ANN SHORT COTA

Occupational Therapy Assistant