OrganizationActive
Sh Ccrc, LLC
NPI 1992930614 · Skilled Nursing Facility · Tulsa, OK
Provider details
- NPI number
- 1992930614
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dorene Ford, Director of Mis(239) 963-3400
- License
- NH7227-7227 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5170 S Vandalia Ave
Tulsa, OK 74135
Phone: (918) 496-3963
Fax: (918) 496-0774
Street-level locationGet directions
Mailing address
1400 Centrepark Blvd Ste 810
West Palm Beach, FL 33401-7412
Other names (DBA / former)
- Doing business as
- Southern Hills Rehabilitation Center
- Doing business as
- Southern Hills Rehabilitation Center
Registry dates
- Enumerated
- 2009-05-26
- Last updated
- 2018-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.