Crossroads Worthington Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROSSROADS WORTHINGTON OPERATIONS, LLC

Practice address

965 McMillan St
Worthington, MN 56187-2268

Phone

(507) 376-5312

Fax

(507) 376-9536

NPI assigned

Mar 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ephram Mordy Lahasky

Title

President/Manager

Phone

(646) 772-3668

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Care Center Doing business as

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1679934350",
    "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",
            "telephone_number": "507-376-5312",
            "fax_number": "507-376-9536"
        },
        {
            "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",
            "fax_number": "507-376-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS WORTHINGTON OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_middle_name": "MORDY",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "646-772-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Ann Cepress, OT
• Virginia Cerda, CHW
• Hannah Christensen, PHARMD
• Client Community Services, Inc.
• Compassionate Care Hospice of Minnesota, LLC
• Katherine Dale, P.T.
• Anne Marie Davis, PMHNP-BC
• Tiffany Dekam, PHARM.D.
• Rachael R Dekker, CNP, CRNA
• Darlene Renee Dewitt, RD

• 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 Mar 9, 2016; 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.