Great Commission Care Communities

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

339831 Issued in PA

Legal business name

GREAT COMMISSION CARE COMMUNITIES

Doing business as

The Woods at Cedar Run

Practice address

824 Lisburn Rd
Camp Hill, PA 17011-7102

Phone

(717) 737-3373

Fax

(717) 737-3490

NPI assigned

Aug 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jacqueline Coates, PCHA, NHA

Title

Executive Director

Phone

(717) 737-3373

Specialties & licenses 1

Addresses

Other names 1

• The Woods at Cedar Run Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1427337989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 LISBURN RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117102",
            "telephone_number": "717-737-3373",
            "fax_number": "717-737-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 LISBURN RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117102",
            "telephone_number": "717-737-3373",
            "fax_number": "717-737-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT COMMISSION CARE COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-737-3373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PCHA, NHA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "PA",
            "license": "339831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Woods at Cedar Run",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Grant
• Joshua Paul Graver, PA-C
• Julie Lauren Graver, PA-C
• Dennis Graybill, LIC. PSYCHOLOGIST
• Diane M Graybill
• Cheryl Green
• Colleen Green, RN
• Joshua Martin Greenberg, DMD
• Yasmon Renee Greene
• Teresa M Greenlick, RPH

• Alzheimer Center (Dementia Center) in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Alzheimer Center (Dementia Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.