Organization Active NPI

Southern Hills Health and Rehabilitation Center LLC

Doing business as Middleburg Heights Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Middleburg Heights, OH
National Provider Identifier
1699827154
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5140 Issued in OH
Legal business name
SOUTHERN HILLS HEALTH AND REHABILITATION CENTER LLC
Doing business as
Middleburg Heights Health & Rehabilitation Center
Practice address
19530 Bagley Rd
Middleburg Heights, OH 44130-3326
Phone
(440) 816-7500
Fax
(440) 816-7510
NPI assigned
Jan 17, 2007
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marianne Conner
Title
VP Finance
Phone
(248) 277-5724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5140 OH Primary

Addresses

Primary practice location

19530 Bagley Rd
Middleburg Heights, OH 44130-3326

Mailing address

25500 Meadowbrook Rd Ste 230
Novi, MI 48375-1882
Phone (248) 692-4355

Other identifiers 1

IdentifierTypeStateIssuer
2711337MedicaidOH

Other names 1

  • Middleburg Heights Health & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000375 OH Part A Provider - Skilled Nursing Facility 7719080910 Practice locations: Middleburg Heights, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699827154. Details of each certification follow.

Skilled nursing facility certification: CCN 366057

Legal name
SOUTHERN HILLS HEALTH AND REHABILITATION CENTER LLC
Doing business as
MIDDLEBURG HEIGHTS HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 15, 1996
Last certification
Dec 4, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 31, 2024
Organization structure
LLCProprietary
Incorporated
Jun 22, 2007 in OH
Enrollment address
19530 Bagley Road
Middleburg Heights, OH 44130-3326

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hopkins Rehabilitation and Care CenterCCN 366057 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 15, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9064.7 residents per day on average
Penalties (3 years)
2Fines totaling $76,040

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Oct 17, 2022 8.25%
Optum Management Solutions. Inc Organization, Novi, MI Corporation, Management services company, For-profit Operational/Managerial Control Oct 17, 2022 100%
SNW LLC Organization, Farmington Hills, MI LLC 5% Or Greater Indirect Ownership Interest Oct 17, 2022 33%
Paar 108 LLC Organization, Northville, MI LLC 5% Or Greater Indirect Ownership Interest Oct 17, 2022 33%
Charles Franklin LLC Organization, Franklin, MI LLC 5% Or Greater Indirect Ownership Interest Oct 17, 2022 33%
Hemant Shah 2018 Irrevocable Trust Organization, Farmington Hills, IN 5% Or Greater Indirect Ownership Interest Oct 17, 2022 32.67%
Omar Hamed Individual W-2 Managing EmployeeAd; Jan 1, 2023 100%
Rajan Patel Individual 5% Or Greater Indirect Ownership InterestCeo Oct 17, 2022 34%
Corporate OfficerCeo Oct 17, 2022 34%
Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Oct 17, 2022 8.25%
Marianne B Conner Individual Corporate OfficerVP Finance Oct 17, 2022
Charles a. Dunn Individual 5% Or Greater Indirect Ownership InterestCoo Oct 17, 2022 33%
Om Holdco 4 LLC Organization, Novi, MI Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Oct 17, 2022 100%
Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Oct 17, 2022 8.25%
Hemant H Shah Individual 5% Or Greater Indirect Ownership InterestCfo Oct 17, 2022 33%
Corporate OfficerCfo Oct 17, 2022 33%
Om Note Holdco 4 LLC Organization, Novi, MI LLC 5% Or Greater Indirect Ownership Interest Oct 17, 2022 100%
Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Oct 17, 2022 8.25%

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1699827154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 230",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751882",
            "telephone_number": "248-692-4355",
            "fax_number": "248-692-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19530 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303326",
            "telephone_number": "440-816-7500",
            "fax_number": "440-816-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HILLS HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "248-277-5724"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2711337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middleburg Heights Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.