Provider Demographics
NPI:1932642287
Name:SOUTH HILLS OPERATIONS LLC
Entity Type:Organization
Organization Name:SOUTH HILLS OPERATIONS LLC
Other - Org Name:SOUTH HILLS REHABILITATION AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-746-1300
Mailing Address - Street 1:201 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2368
Mailing Address - Country:US
Mailing Address - Phone:724-746-1300
Mailing Address - Fax:
Practice Address - Street 1:201 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2368
Practice Address - Country:US
Practice Address - Phone:724-746-0522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility