Organization Active NPI

Ggnsc Camp Hill III LP

  • Skilled Nursing Facility
  • Camp Hill, PA
National Provider Identifier
1124079587
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030502 Issued in PA
Legal business name
GGNSC CAMP HILL III LP
Doing business as
Golden LivingCenter - Camp Hill
Practice address
46 Erford Rd
Camp Hill, PA 17011-2303
Phone
(717) 763-7361
Fax
(717) 730-9109
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030502 PA Primary

Addresses

Primary practice location

46 Erford Rd
Camp Hill, PA 17011-2303

Mailing address

46 Erford Rd
Camp Hill, PA 17011-2303
Phone (717) 763-7361

Other identifiers 8

IdentifierTypeStateIssuer
395123OtherPACAPITAL BLUE CROSS
2138OtherPAHIGHMARK CENTRAL FREEDOM
53104OtherPAGEISINGER HEALTH PLAN
1508047OtherPAGATEWAY HEALTH PLAN
101553090MedicaidPA
000000119180OtherPATHREE RIVERS HEALTH PLAN
1015530900001MedicaidPA
85630OtherPAHEALTH AMERICA

Other names 1

  • Golden LivingCenter - Camp Hill Doing business as

National Provider Directory

National Provider Directory

NPI 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": "1405468800000",
    "number": "1124079587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112303",
            "telephone_number": "717-763-7361",
            "fax_number": "717-730-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112303",
            "telephone_number": "717-763-7361",
            "fax_number": "717-730-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC CAMP HILL III LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-07-16",
        "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": "030502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "395123",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK CENTRAL FREEDOM",
            "identifier": "2138",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "53104",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1508047",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101553090",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "000000119180",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015530900001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "85630",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Camp Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.