Ggnsc El Dorado III LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

816 Issued in AR

Legal business name

GGNSC EL DORADO III LLC

Doing business as

Golden LivingCenter - El Dorado

Practice address

2415 W Hillsboro St
El Dorado, AR 71730-6815

Phone

(870) 863-5034

Fax

(870) 863-5092

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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 names 1

• Golden LivingCenter - El Dorado Doing business as

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457303687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306815",
            "telephone_number": "870-863-5034",
            "fax_number": "870-863-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306815",
            "telephone_number": "870-863-5034",
            "fax_number": "870-863-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC EL DORADO III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "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": "AR",
            "license": "816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - El Dorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth G Gati, M.D.
• Pamela Ann Gauthreaux, MSPT
• Geetha Reddy, MD
• Genoa Healthcare LLC (Genoa Healthcare)
• Robertine George, LPN
• Cheree Gibson
• Lisa Gill, LPC
• Wanda Gilliam
• Girish R. Bhatt, MD, PA
• Lauren Glaze, PHARM.D.

• Skilled Nursing Facility in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Skilled Nursing Facility in Arkansas

• 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.