Ggnsc Crossett LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

810 Issued in AR

Legal business name

GGNSC CROSSETT LLC

Doing business as

Golden LivingCenter - Crossett

Practice address

1101 Waterwell Rd
Crossett, AR 71635-4152

Phone

(870) 364-5721

Fax

(870) 364-7680

NPI assigned

May 16, 2006

Last updated

Aug 26, 2008By 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 identifiers 1

Other names 1

• Golden LivingCenter - Crossett 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": "1548212707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WATERWELL RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354152",
            "telephone_number": "870-364-5721",
            "fax_number": "870-364-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WATERWELL RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354152",
            "telephone_number": "870-364-5721",
            "fax_number": "870-364-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC CROSSETT 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": "810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160 029 311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Crossett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaquetta Gaines
• Billy D Gammel, PD
• Garcia Medical Clinic, PLLC
• Luis Francisco Garcia, MD
• John R Garlington, MS
• Alicia Nichole Gill, CHILD CASE MANAGER
• Henry L Gomez, M.D.
• Warren Gouner, CRNA
• Coby Rebekah Graves
• Edward A Gresham, M.D.

• Skilled Nursing Facility in Crossett, AR
• Providers in Crossett, 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 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.