SOUTH SHORE CARE CENTER
NPI 1225068588
Skilled Nursing Facility in Worthington, MN

Active since July 03, 2006CLIA 24D0405356 · Waiver
1307 S SHORE DR, WORTHINGTON, MN 56187(507) 376-3175(507) 376-9042 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Shore Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE CARE CENTER (NPI 1225068588) is a healthcare organization registered as a skilled nursing facility in Worthington, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barbara M Atchison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225068588
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameATCHISON ENTERPRISES INCORPORATED
Location Address1307 S SHORE DRWorthington, MN 56187-1344
Mailing AddressPo Box 69Worthington, MN 56187-0069 · (507) 376-3175 · Fax (507) 376-9042
Fax(507) 376-9042
Organization SubpartNo
Authorized OfficialBarbara M AtchisonAdministrator · (507) 376-3175
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 15, 2008
NPI 1225068588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MN · 331949
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1307 S SHORE DR, Worthington, MN 56187

Other Names 1

Doing Business AsSouth Shore Care Center

Other Identifiers 4

Other9512LAMN · Blue Cross Blue Shield
Medicaid201042900MN
Medicare ID-Type Unspecified245596MN
Medicare PIN245596MN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0405356

South Shore Care Center · Worthington, MN
Active · expires Aug 31, 2026
CLIA Number24D0405356
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStacey Luong
Laboratory Phone(507) 376-3175
Laboratory LocationSouth Shore Care Center1307 South Shore Drive, Worthington, MN 56187
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1307 S SHORE DR
WORTHINGTON, MN 56187
Speech-Language Pathologist
1307 S SHORE DR
WORTHINGTON, MN 56187
Physical Therapist
1307 S SHORE DR
WORTHINGTON, MN 56187
Skilled Nursing Facility
1307 S SHORE DR
WORTHINGTON, MN 56187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atchison Enterprises Incorporated's NPI number?

The NPI number for Atchison Enterprises Incorporated is 1225068588. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as South Shore Care Center.

Where is Atchison Enterprises Incorporated located?

Atchison Enterprises Incorporated is located at 1307 S Shore Dr, Worthington, MN 56187. The listed phone number is (507) 376-3175.

What is Atchison Enterprises Incorporated's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Atchison Enterprises Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0405356) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atchison Enterprises Incorporated accept?

Health plans from Sanford Health Plan list Atchison Enterprises Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atchison Enterprises Incorporated was last updated on May 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.