Nobles Crossroads Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NOBLES CROSSROADS HOLDINGS LLC

Practice address

965 McMillan St
Worthington, MN 56187-2268

Phone

(507) 376-5312

NPI assigned

May 14, 2020

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) 376-5312

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Restorative Care Center Doing business as

Electronic endpoints 1

Locations

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": "1154943975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 MCMILLAN ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 MCMILLAN ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872268",
            "telephone_number": "507-376-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLES CROSSROADS 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": "507-376-5312"
    },
    "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": "965 McMillan St",
            "city": "Worthington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561872268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crossroads Restorative Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alyssa Nordell
• Randal H Noyes, DO
• Jennifer M Oakes, CRNA

• 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.