SOUTHERN HILLS REHABILITATION CENTER
NPI 1992930614
Skilled Nursing Facility in Tulsa, OK

Active since May 26, 2009
5170 S VANDALIA AVE, TULSA, OK 74135(918) 496-3963(918) 496-0774 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Hills Rehabilitation Center NPPES

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

SOUTHERN HILLS REHABILITATION CENTER (NPI 1992930614) is a healthcare organization registered as a skilled nursing facility in Tulsa, Oklahoma and active in the NPI registry since May 2009. The organization lists Dorene M Ford, Director Of Mis, as its authorized official.

NPPES Registry Identity

NPI1992930614
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSH CCRC, LLC
Location Address5170 S VANDALIA AVETulsa, OK 74135
Mailing Address1400 Centrepark Blvd Ste 810West Palm Beach, FL 33401-7412 · (239) 963-3400 · Fax (239) 963-3401
Fax(918) 496-0774
Organization SubpartNo
Authorized OfficialDorene M FordDirector Of Mis · (239) 963-3400
Enumeration DateMay 26, 2009
Last NPPES UpdateMay 14, 2018
NPI 1992930614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OK · NH7227-7227
Definition
(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
5170 S VANDALIA AVE, Tulsa, OK 74135

Other Names 1

Doing Business AsSouthern Hills Rehabilitation Center

Other Identifiers 1

Medicaid100774500AOK

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.

Occupational Therapy Assistant
5170 S VANDALIA AVE
TULSA, OK 74135
Occupational Therapy Assistant
5170 S VANDALIA AVE
TULSA, OK 74135
Assisted Living Facility
5170 S VANDALIA AVE
TULSA, OK 74135
Skilled Nursing Facility
5170 S VANDALIA AVE
TULSA, OK 74135
Occupational Therapist
5170 S VANDALIA AVE
TULSA, OK 74135
Physical Therapy Assistant
5170 S VANDALIA AVE
TULSA, OK 74135
Physical Therapist
5170 S VANDALIA AVE
TULSA, OK 74135
Skilled Nursing Facility
5170 S VANDALIA AVE
TULSA, OK 74135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sh Ccrc, LLC's NPI number?

The NPI number for Sh Ccrc, LLC is 1992930614. It was assigned to this organization in the NPPES registry on May 26, 2009. The provider is doing business as Southern Hills Rehabilitation Center.

Where is Sh Ccrc, LLC located?

Sh Ccrc, LLC is located at 5170 S Vandalia Ave, Tulsa, OK 74135. The listed phone number is (918) 496-3963.

What is Sh Ccrc, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Sh Ccrc, LLC was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.