Southern Hills Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTHERN HILLS REHAB CENTER, LLC

Doing business as

Southern Hills Rehabilitation Center

Practice address

5170 S Vandalia Ave
Tulsa, OK 74135-4079

Phone

(918) 496-3963

Fax

(918) 496-0774

NPI assigned

Feb 11, 2015

Last updated

May 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lance Baller

Title

Ceo

Phone

(303) 449-2100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• SOUTHERN HILLS REHABILITATION CENTER Doing business as
• Heathcare Management of Oklahoma, LLC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801287982. Details of each certification follow.

• CCN 375172 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375172

Legal name

SOUTHERN HILLS REHAB CENTER LLC

Doing business as

SOUTHERN HILLS REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1994

Last certification

Nov 26, 2024

Beds

106

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Selectis Health

Most recent change of ownership

Dec 1, 2019

Organization structure

LLCProprietary

Incorporated

Jul 11, 2019 in OK

Enrollment address

5170 S Vandalia Ave
Tulsa, OK 74135-4079

Nursing home name

SOUTHERN HILLS REHABILITATION CENTER

Listed as

Southern Hills Rehabilitation CenterCCN 375172 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10677.6 residents per day on average

Penalties (3 years)

1Fines totaling $15,766

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Vincent Montgomery Bryan, DO

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1134129356

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 7

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

• Global Fairland LLC

  dba Family Care Center of Fairland

  • Skilled Nursing Facility
  • Fairland, OK
  • NPI 1740878859

  Selectis Health Inc, Selectis Management LLC

  CMS ownership
• Global Higher Call Nursing, LLC

  dba Higher Call Nursing Center

  • Skilled Nursing Facility
  • Quapaw, OK
  • NPI 1306455696

  Selectis Health Inc, Selectis Management LLC

  CMS ownership
• Tiaps Rehab Center LLC

  dba Park Place Healthcare and Rehab

  • Skilled Nursing Facility
  • Oklahoma City, OK
  • NPI 1770168627

  Selectis Health Inc, Selectis Management LLC

  CMS ownership
• Global Abbeville, LLC

  dba Glen Eagle Healthcare and Rehab

  • Skilled Nursing Facility
  • Abbeville, GA
  • NPI 1407375645

  Selectis Health Inc, Selectis Management LLC

  CMS ownership
• Global Eastman LLC

  dba Eastman Healthcare & Rehab

  • Skilled Nursing Facility
  • Eastman, GA
  • NPI 1205465879

  Selectis Health Inc, Selectis Management LLC

  CMS ownership
• Selectis Sparta LLC

  dba Providence of Sparta Health and Rehab

  • Skilled Nursing Facility
  • Sparta, GA
  • NPI 1225608912

  Selectis Health Inc, Selectis Management LLC

  CMS ownership
• Selectis Warrenton LLC

  dba Warrenton Health and Rehab

  • Skilled Nursing Facility
  • Warrenton, GA
  • NPI 1124698816

  Selectis Health Inc, Selectis Management LLC

  CMS ownership

Practitioners 1

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.

• Vincent Montgomery Bryan, DO

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1134129356
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vincent Montgomery Bryan, DO

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1134129356

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1801287982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 S VANDALIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354079",
            "telephone_number": "918-496-3963",
            "fax_number": "918-496-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 S VANDALIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354079",
            "telephone_number": "918-496-3963",
            "fax_number": "918-496-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HILLS REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "BALLER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-449-2100"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200609790B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200609790A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "krystaleckhart@southernhillsrc.com",
            "affiliation": "N",
            "address_1": "5170 S Vandalia Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741354079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SOUTHERN HILLS REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHERN HILLS REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heathcare Management of Oklahoma, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Southcrest LLC (SouthCrest Hospital)
• Southcrest LLC
• Southcrest Medical Group LLC
• Southcrest Surgery Center LP (SouthCrest Surgicenter)
• Southern Hills Nursing Center Inc (Southern Hills Rehab Center)
• Southern Hills Retirement Center, LLC (Southern Hills Assisted Living)
• Southern Pointe Dental and Implants LLC
• Southern Spine Partners LLC
• Southern Spine Services, LLC
• Southerncare, Inc (Southerncare Tulsa)

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.

Verify at the official NPI Registry.