Ggnsc Monticello LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

815 Issued in AR

Legal business name

GGNSC MONTICELLO LLC

Practice address

1194 N Chester St
Monticello, AR 71655-4133

Phone

(870) 367-6852

Fax

(870) 367-3910

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 - Monticello Doing business as

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": "1366494510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 N CHESTER ST",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554133",
            "telephone_number": "870-367-6852",
            "fax_number": "870-367-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 N CHESTER ST",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554133",
            "telephone_number": "870-367-6852",
            "fax_number": "870-367-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC MONTICELLO 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": "815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160 209 311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Monticello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Desiree Gammel
• April Gardner
• Kierra Gardner
• Trace Nathaniel Garner, M.D.
• Jason E Gault, DO
• Shelby Elaine Gibson, APRN
• Whitney Gifford
• April Brandy Glasscock, APRN, PMHNP
• Kellie Gober, LMSW
• Ashley Goggans, PTA

• All providers in Monticello, 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.