# SOUTHERN HILLS REHAB CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN HILLS REHABILITATION CENTER, Heathcare Management of Oklahoma, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801287982
- **Authorized official:** LANCE BALLER (CEO)
- **Authorized official phone:** (303) 449-2100

## Contact information

- **Practice address:** 5170 S VANDALIA AVE, TULSA, OK 74135-4079
- **Practice address phone:** (918) 496-3963
- **Practice address fax:** (918) 496-0774
- **Mailing address:** 5170 S VANDALIA AVE, TULSA, OK 74135-4079
- **Mailing address phone:** (918) 496-3963
- **Mailing address fax:** (918) 496-0774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 05/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200609790A | — | OK |
| 05 | — | 200609790B | — | OK |