Healthcare Provider Details

I. General information

NPI: 1164358222
Provider Name (Legal Business Name): SOUTH HILLS REHABILITATION & NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 VILLAGE DR
CANONSBURG PA
15317-2368
US

IV. Provider business mailing address

201 VILLAGE DR
CANONSBURG PA
15317-2368
US

V. Phone/Fax

Practice location:
  • Phone: 412-824-3397
  • Fax:
Mailing address:
  • Phone: 412-824-3397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN STRAUSS
Title or Position: MANAGING MANAGER
Credential:
Phone: 201-214-8889