Active NPI
Southern Hills Health and Rehabilitation Center LLC
Doing business as Middleburg Heights Health & Rehabilitation Center
- Skilled Nursing Facility
- Middleburg Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5140
- 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, 2024
- 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
- Marianne Conner
- Title
- VP Finance
- Phone
- (248) 277-5724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2711337 | Medicaid | OH |
Other names 1
- Middleburg Heights Health & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 15, 1996
- Medicare certification status
- Active
- Certified beds
- 90
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 8.25% |
| Optum Management Solutions. Inc | Operational/Managerial Control | Oct 17, 2022 | 100% |
| SNW LLC | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 33% |
| Paar 108 LLC | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 33% |
| Charles Franklin LLC | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 33% |
| Hemant Shah 2018 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 32.67% |
| Omar Hamed | W-2 Managing Employee | Jan 1, 2023 | 100% |
| Rajan Patel | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 34% |
| Corporate Officer | Oct 17, 2022 | 34% | |
| Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020 | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 8.25% |
| Marianne B Conner | Corporate Officer | Oct 17, 2022 | |
| Charles a. Dunn | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 33% |
| Om Holdco 4 LLC | 5% Or Greater Direct Ownership Interest | Oct 17, 2022 | 100% |
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 8.25% |
| Hemant H Shah | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 33% |
| Corporate Officer | Oct 17, 2022 | 33% | |
| Om Note Holdco 4 LLC | 5% Or Greater Indirect Ownership Interest | Oct 17, 2022 | 100% |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | 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.
-
dba Abbyshire Place Health and Rehabilitation Center
- Skilled Nursing Facility
- Bidwell, OH
- NPI 1285785568
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Om Note Holdco 4 LLC, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Fami
-
dba Canal Winchester Care Center
- Skilled Nursing Facility
- Canal Winchester, OH
- NPI 1619486230
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020
-
dba Mill Run Gardens and Care Center
- Skilled Nursing Facility
- Hilliard, OH
- NPI 1467451179
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrev
-
dba New Albany Gardens and Care Center
- Skilled Nursing Facility
- Columbus, OH
- NPI 1548269160
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrev
-
dba The Grand
- Skilled Nursing Facility
- Dublin, OH
- NPI 1346632247
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Om Note Holdco 4 LLC, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Fami
-
dba Monterey Care Center
- Skilled Nursing Facility
- Grove City, OH
- NPI 1245239862
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrev
-
dba Pickaway Manor Care Center
- Skilled Nursing Facility
- Circleville, OH
- NPI 1952300220
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrev
-
dba West Park Care Center
- Skilled Nursing Facility
- Columbus, OH
- NPI 1720449788
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020
-
dba Riverview Care Center
- Skilled Nursing Facility
- Columbus, OH
- NPI 1134128846
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020
-
dba Belle Fountain Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Riverview, MI
- NPI 1336106905
Optum Management Solutions. Inc
-
dba Greenfield Rehab and Nursing Center
- Skilled Nursing Facility
- Royal Oak, MI
- NPI 1528251071
Optum Management Solutions. Inc
-
dba Evergreen Health and Living Center
- Skilled Nursing Facility
- Southfield, MI
- NPI 1003812181
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrev
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.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1619943388
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1104892801
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1649286360
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1649286360
Nursing home
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
- Narges Sohrabi, PHARMD
- Natalie Soltysiak, PHARMD
- Jason Carl Sopkovich, LPC LICDC
- Sandra Judith Soresso
- South West General Health Center
- Southern Hills Nursing and Rehabilitation Center, Inc.
- Southwest Anesthesiology Group, Inc
- Southwest Family Physicians, Inc.
- Southwest General Health Center
- Southwest General Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.