Active NPI
Ggnsc Meadville LP
Doing business as Golden LivingCenter - Meadville
- Skilled Nursing Facility
- Meadville, PA
National Provider Identifier
1073564274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 131702
- Legal business name
- GGNSC MEADVILLE LP
- Doing business as
- Golden LivingCenter - Meadville
- Practice address
- 14714 Park Avenue Ext
Meadville, PA 16335-9400 - Phone
- (814) 337-4228
- Fax
- (814) 333-9331
- NPI assigned
- May 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly A. Rasmussen-Jones
- Title
- Sec. of the GP
- Phone
- (479) 201-4835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 131702 | PA | Primary |
Addresses
Primary practice location
14714 Park Avenue Ext
Meadville, PA 16335-9400
Mailing address
14714 Park Avenue Ext
Meadville, PA 16335-9400
Phone (814) 337-4228
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523926 | Other | PA | GATEWAY HEALTH PLAN |
| 0492 | Other | PA | HIGHMARK WESTERN PA |
| 000000098905 | Other | PA | THREE RIVERS HEALTH PLAN |
| 1015497400001 | Medicaid | PA | |
| 126212 | Other | PA | HEALTH AMERICA |
Other names 1
- Golden LivingCenter - Meadville
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073564274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14714 PARK AVENUE EXT",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163359400",
"telephone_number": "814-337-4228",
"fax_number": "814-333-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14714 PARK AVENUE EXT",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163359400",
"telephone_number": "814-337-4228",
"fax_number": "814-333-9331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GGNSC MEADVILLE LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RASMUSSEN-JONES",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "SEC. OF THE GP",
"authorized_official_telephone_number": "479-201-4835"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "131702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1523926",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK WESTERN PA",
"identifier": "0492",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS HEALTH PLAN",
"identifier": "000000098905",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015497400001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "126212",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden LivingCenter - Meadville",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.