Ggnsc Harrison II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

554 Issued in AR

Legal business name

GGNSC HARRISON II LLC

Practice address

115 Orendorff Ave
Harrison, AR 72601-4634

Phone

(870) 741-3438

Fax

(870) 741-9117

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Holly A. Rasmussen-Jones

Title

Secretary

Phone

(479) 201-4835

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden LivingCenter - Harrison Doing business as

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1023060282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ORENDORFF AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014634",
            "telephone_number": "870-741-3438",
            "fax_number": "870-741-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ORENDORFF AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014634",
            "telephone_number": "870-741-3438",
            "fax_number": "870-741-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC HARRISON II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN-JONES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-201-4835"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159 987 311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Harrison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christena Lynn George, SLP
• Tricia Lynnette George, MS,CCC-SLP
• Delfino Gervantes, MHPP
• Glenn Benjamen Getz, LMT, CMMP
• Ggnsc Harrison Hilltop LLC
• GGT Therapy Services Incorporated
• Mary Gilliam
• Tatum Gilliam
• Lisa L. Gilmore, DNP, ACCNS, FNP
• Tammie Jenkins Gimenez, MHS,R.D.,L.D.

• All providers in Harrison, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.