Healthcare Provider Details

I. General information

NPI: 1699827154
Provider Name (Legal Business Name): SOUTHERN HILLS HEALTH AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19530 BAGLEY RD
MIDDLEBURG HEIGHTS OH
44130-3326
US

IV. Provider business mailing address

25500 MEADOWBROOK RD STE 230
NOVI MI
48375-1882
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-7500
  • Fax: 440-816-7510
Mailing address:
  • Phone: 248-692-4355
  • Fax: 248-692-4356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number5140
License Number StateOH

VIII. Authorized Official

Name: MARIANNE CONNER
Title or Position: VP FINANCE
Credential:
Phone: 248-277-5724