South Shore Care Center

LBN: Atchison Enterprises Incorporated
South Shore Care Center is an health care organization with primary practice located at 1307 S Shore Dr , Worthington MN 56187-1344. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Atchison Enterprises Incorporated can be contacted via phone (507) 376-3175, or through Atchison, Barbara M via phone (507) 376-3175.

Contact Information

Primary practice address
1307 S Shore Dr Worthington MN 56187-1344
Phone: (507) 376-3175
Fax: (507) 376-9042
Website:
Map and Directions
Authorized official contact:
Name: Atchison, Barbara M
Phone: (507) 376-3175

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 331949 Minnesota

Profile Details

NPI number 1225068588
LBN Legal business name Atchison Enterprises Incorporated
DBA Doing business as South Shore Care Center
Authorized official Atchison, Barbara M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated May 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225068588 NPPES
Minnesota MEDICAID 201042900
Minnesota Other 9512LA

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