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1801287982 NPI number — SOUTHERN HILLS REHAB CENTER, LLC

NPI Number: 1801287982
Health Care Provider/Practitioner: SOUTHERN HILLS REHAB CENTER, LLC

Information about “1801287982” NPI (SOUTHERN HILLS REHAB CENTER, LLC) exists in 1801287982 in HTML format HTML  |  1801287982 in plain Text format TXT  |  1801287982 in PDF (Portable Document Format) PDF  |  1801287982 in an XML format XML  formats.

NPI Number : 1801287982 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801287982",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOUTHERN HILLS REHAB CENTER, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5170 S VANDALIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TULSA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74135-4079",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-496-3963",
    "MailingAddressFaxNumber": "918-496-0774",
    "FirstLinePracticeLocationAddress": "5170 S VANDALIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74135-4079",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-496-3963",
    "PracticeLocationAddressFaxNumber": "918-496-0774",
    "EnumerationDate": "02/11/2015",
    "LastUpdateDate": "05/13/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BALLER",
    "AuthorizedOfficialFirstName": "LANCE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "303-449-2100",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "313M00000X",
          "TaxonomyName": "Nursing Facility/Intermediate Care Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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