SOUTHERN HILLS RETIREMENT CENTER, LLC (NPI# 1285117150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285117150 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HILLS RETIREMENT CENTER, LLC |
| Other Organization Name | SOUTHERN HILLS ASSISTED LIVING |
| Practice Address |
5170 S Vandalia Ave Tulsa OK 74135-4079 |
| Practice Telephone | 9184963963 |
| Practice Fax Number | 9184960774 |
| Mailing Telephone | 9184963963 |
| Mailing Fax Number | 9184960774 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | ZVI RHINE (MANAGER) |
| Authorized Official Telephone | 4238772024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Hills Assisted Living | Doing Business As Name - Organization |
| Street Address |
5170 S VANDALIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74135-4079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930589 | Southern Hills Nursing Center Inc | Skilled Nursing Facility | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2005-08-23 |
| 1801287982 | Southern Hills Rehab Center, LLC | Nursing Facility/Intermediate Care Facility | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2015-02-11 |
| 1992930614 | Sh Ccrc, LLC | Skilled Nursing Facility | 5170 S Vandalia Ave, Tulsa, OK 74135 | 2009-05-26 |
| 1366619777 | Catherine C. Reese | Occupational Therapist | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2008-05-14 |
| 1134396559 | Lou Ann Short | Occupational Therapy Assistant | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2008-05-14 |
| 1164696175 | Danielle S Sachetti | Occupational Therapy Assistant | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2008-04-22 |
| 1467621177 | Diane M Reed | Physical Therapy Assistant | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2008-02-27 |
| 1558530840 | Royce A. Macklin | Physical Therapist | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508270380 | Heatheridge Health Care, LLC | Assisted Living Facility | 2130 S 85th East Ave, Tulsa, OK 74129-3066 | 2014-06-19 |
| 1174896310 | Tulsa Memory Care, LLC | Assisted Living Facility | 7807 S Mingo Rd, Tulsa, OK 74133-3347 | 2012-02-20 |
| 1669777892 | South Lewis Sh Opco, LLC | Assisted Living Facility | 5721 S Lewis Ave, Tulsa, OK 74105-7129 | 2011-01-19 |
| 1558680918 | Tcg Tulsa Assisted Living LLC | Assisted Living Facility | 7220 S Yale Ave, Tulsa, OK 74136-6348 | 2010-05-25 |
| 1568639896 | Theparkeassistedliving | Assisted Living Facility | 7821 E 76th St, Tulsa, OK 74133-3680 | 2008-05-15 |
| 1710153531 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 6022 E 71st St, Tulsa, OK 74136-6742 | 2008-05-01 |
| 1437325255 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 8231 S Mingo Rd, Tulsa, OK 74133-4549 | 2008-05-01 |
| 1013121912 | Sunrise Senior Living | Assisted Living Facility | 5211 S Lewis Ave, Tulsa, OK 74105-6556 | 2007-05-09 |
| 1740588672 | University Village Retirement Community, LLC | Assisted Living Facility | 8555 S Lewis Ave, Tulsa, OK 74137-1218 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834482 | Red Bud Assisted Living LLC | Assisted Living Facility | 215 W Freeman Ave, Perkins, OK 74059-5600 | 2020-09-03 |
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1740608660 | United Senior Properties of Shawnee, LLC | Assisted Living Facility | 789 E Country Grove Dr, Shawnee, OK 74804-1404 | 2014-03-29 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1962837039 | Hugo Family Pharmacy | Assisted Living Facility | 420 E Jackson St, Hugo, OK 74743-4021 | 2013-09-09 |
| 1740526474 | Forest Hills Alf LLC | Assisted Living Facility | 4304 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.