Active NPI
South Hills, LLC
- Skilled Nursing Facility
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 634012
- Legal business name
- SOUTH HILLS, LLC
- Practice address
- 3500 South Blvd W
Rochester Hills, MI 48309-3973 - Phone
- (248) 852-7800
- Fax
- (248) 852-6348
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith J. Pomeroy
- Title
- Manager
- Phone
- (248) 723-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 634012 | MI | Primary |
Addresses
Primary practice location
3500 South Blvd W
Rochester Hills, MI 48309-3973
Mailing address
3500 South Blvd W
Rochester Hills, MI 48309-3973
Phone (248) 852-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080103000364 | MI | Part A Provider - Skilled Nursing Facility | 6103906110 | Practice locations: Rochester Hills, MI |
Skilled nursing facility certification: CCN 235477
- Legal name
- SOUTH HILLS LLC
- Doing business as
- POMEROY LIVING ROCHESTER SKILLED REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1989
- Last certification
- Feb 27, 2025
- Beds
- 182
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Pomeroy Living
- Organization structure
- LLC
- Incorporated
- Aug 31, 2006 in MI
- Enrollment address
- 3500 South W Blvd
Rochester Hills, MI 48309-3973 - Nursing home name
- POMEROY LIVING ROCHESTER SKILLED REHABILITATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pomeroy Living Rochester Skilled Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1989
- Medicare certification status
- Active
- Certified beds
- 182
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0650735 | Pomeroy Living Rochester Skilled Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Keith Pomeroy | 5% Or Greater Direct Ownership Interest | Nov 1, 2007 | |
| Corporate Officer | Nov 1, 2007 | ||
| Operational/Managerial Control | Nov 1, 2007 | ||
| Adp of the SNF | May 1, 2025 | ||
| Enid Barden Family 2005 Irrevocable Trust | 5% Or Greater Direct Ownership Interest | Nov 1, 2007 | 28% |
| Pomeroy Family Investment Partnership | 5% Or Greater Direct Ownership Interest | Nov 1, 2007 | 72% |
| Adp of the SNF | Sep 1, 2010 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Royal Oak, MI
- NPI 1477621241
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1144290446
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1205874831
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1508058363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SOUTH BLVD W",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093973",
"telephone_number": "248-852-7800",
"fax_number": "248-852-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SOUTH BLVD W",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093973",
"telephone_number": "248-852-7800",
"fax_number": "248-852-6348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH HILLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-15",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "POMEROY",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-723-2100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "634012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.