Ggnsc Erie II LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020602 Issued in PA

Legal business name

GGNSC ERIE II LP

Practice address

2686 Peach St
Erie, PA 16508-1851

Phone

(814) 453-6641

Fax

(814) 453-5546

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

Sec. of the GP

Phone

(479) 201-4835

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Golden LivingCenter - Erie Doing business as

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": "1184675563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081851",
            "telephone_number": "814-453-6641",
            "fax_number": "814-453-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081851",
            "telephone_number": "814-453-6641",
            "fax_number": "814-453-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC ERIE II 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": "020602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK WESTERN PA",
            "identifier": "0671",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015495340001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ION HEALTH",
            "identifier": "1008144500093",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "126211",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1504366",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00895212",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "000000085257",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "000084",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Erie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert L Gerdich, LPN
• Timothy Justin Germain, M.D.
• David J German, MD
• Jennifer Lynn Gervase, MSN, APRN, FNP-C
• Katherine Getty, CRNP
• Ggnsc Erie Western Reserve LP
• Mindy Ghaemaghamy-Harris, LSW
• Maged Mahmoud Ghanem, MD
• Romeo Ghano
• Elaine Ghazinour

• Skilled Nursing Facility in Erie, PA
• Providers in Erie, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• 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.