Nobles South Shore Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NOBLES SOUTH SHORE HOLDINGS LLC

Doing business as

South Shore Restorative Care Center

Practice address

1307 S Shore Dr
Worthington, MN 56187-1344

Phone

(507) 376-3175

NPI assigned

May 14, 2020

Last updated

May 14, 2020By 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

Steven Rohinsky

Title

President

Phone

(507) 376-3175

Specialties & licenses 1

Addresses

Other names 1

• South Shore Restorative Care Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1043832868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S SHORE DR",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S SHORE DR",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871344",
            "telephone_number": "507-376-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLES SOUTH SHORE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "ROHINSKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-376-3175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddejager@worthingtonnh.com",
            "affiliation": "N",
            "address_1": "1307 S Shore Dr",
            "city": "Worthington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561871344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Shore Restorative Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chioma Blessing Osemwegie, MD

• Skilled Nursing Facility in Worthington, MN
• Providers in Worthington, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.