Ggnsc Shippenville LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

026002 Issued in PA

Legal business name

GGNSC SHIPPENVILLE LP

Doing business as

Golden LivingCenter - Shippenville

Practice address

21158 Paint Blvd
Shippenville, PA 16254-4024

Phone

(814) 226-5660

Fax

(814) 226-9896

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 7

Other names 1

• Golden LivingCenter - Shippenville 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": "1405468800000",
    "number": "1467403782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21158 PAINT BLVD",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162544024",
            "telephone_number": "814-226-5660",
            "fax_number": "814-226-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21158 PAINT BLVD",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162544024",
            "telephone_number": "814-226-5660",
            "fax_number": "814-226-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC SHIPPENVILLE 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": "026002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "312367",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101558130",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1518751",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "126258",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "000000079446",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK WESTERN PA",
            "identifier": "0654",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015581300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Shippenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Carroll, D.O.
• Sandra Ellen Clark, MS CCC/SLP
• Cheryl E. Crawford, D.C.
• Victoria Crislip, PA-C
• Stacy Garich, PA-C
• Guardian Elder Care at Shippenville LLC (Shippenville Healthcare and Rehabilitation Center)
• Courtney Beth Hartle, LSW
• Rusty Hartzell
• Health Services of Clarion Inc (Marianne Family Practice)
• Health Services of Clarion, Inc. (Marianne Family Practice)

• Skilled Nursing Facility in Shippenville, PA
• Providers in Shippenville, 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 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.