Ggnsc Hibbing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

332031 Issued in MN

Legal business name

GGNSC HIBBING LLC

Doing business as

Golden LivingCenter - Golden Crest

Practice address

2413 1St Ave
Hibbing, MN 55746-2101

Phone

(218) 262-1081

Fax

(218) 262-4976

NPI assigned

May 12, 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 6

Other names 1

• Golden LivingCenter - Golden Crest Doing business as

Locations

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": "1093766388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462101",
            "telephone_number": "218-262-1081",
            "fax_number": "218-262-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462101",
            "telephone_number": "218-262-1081",
            "fax_number": "218-262-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC HIBBING LLC",
        "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": "SECRETARY",
        "authorized_official_telephone_number": "479-201-4835"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "332031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "7122508",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA SELECTCARE",
            "identifier": "7100279",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "NH0159",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "245309",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MINNESOTA",
            "identifier": "9R71GG",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS MN",
            "identifier": "115069",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Golden Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Richard Franzen
• Kristin Lee Fredrickson, D.O.
• Molly S Fritz-Beckers, MS RN PMHCNS BC
• Emily Gardeski
• Genna Lee Gentile, M.A., LLMFT
• Kristine Gieseke, RN
• Jennifer Gigliotti
• Elaina Gilbert
• Amy Gleason, RPH
• Anne T Goldschmidt, M.D.

• Skilled Nursing Facility in Hibbing, MN
• Providers in Hibbing, 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 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.

Verify at the official NPI Registry.