SH CCRC, LLC
Skilled Nursing Facility · Tulsa, OK
Practice location
5170 S Vandalia AveTulsa, OK 74135
- Phone
- (918) 496-3963
- Fax
- (918) 496-0774
NPI record
- NPI
- 1992930614
- Entity type
- Organization (Type 2)
- Enumeration date
- May 26, 2009
- Last updated
- May 14, 2018
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
NH7227-7227 | OK |
Mailing address
1400 Centrepark Blvd Ste 810West Palm Beach, FL 33401-7412
- Phone
- (239) 963-3400
- Fax
- (239) 963-3401
Authorized official
- Name
- Ms. Dorene M Ford
- Title
- Director of Mis
- Phone
- (239) 963-3400
Other names
- Southern Hills Rehabilitation Center
- Southern Hills Rehabilitation Center
About SH CCRC, LLC
SH CCRC, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 5170 S Vandalia Ave, Tulsa, OK 74135. The NPI number 1992930614 was assigned on May 26, 2009 and the record was last updated on May 14, 2018.
SH CCRC, LLC lists a license in the registry: #NH7227-7227 (OK) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Ms. Dorene M Ford, Director of Mis.
Frequently asked questions
What is the NPI number of SH CCRC, LLC?
The NPI number is 1992930614.
What is the phone number of SH CCRC, LLC?
The phone number listed for the practice location is (918) 496-3963.
Where is SH CCRC, LLC located?
5170 S Vandalia Ave, Tulsa, OK 74135.
What is the taxonomy code for SH CCRC, LLC?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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