Organization Active NPI

Ggnsc Camp Hill West Shore LP

  • Skilled Nursing Facility
  • Camp Hill, PA
National Provider Identifier
1669423992
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
280202 Issued in PA
Legal business name
GGNSC CAMP HILL WEST SHORE LP
Doing business as
Golden LivingCenter - West Shore
Practice address
770 Poplar Church Rd
Camp Hill, PA 17011-2302
Phone
(717) 763-7070
Fax
(717) 763-7850
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 280202 PA Primary

Addresses

Primary practice location

770 Poplar Church Rd
Camp Hill, PA 17011-2302

Mailing address

770 Poplar Church Rd
Camp Hill, PA 17011-2302
Phone (717) 763-7070

Other identifiers 7

IdentifierTypeStateIssuer
000000119083OtherPATHREE RIVERS HEALTH PLAN
1508302OtherPAGATEWAY HEALTH PLAN
2139OtherPAHIGHMARK CENTRAL FREEDOM
395223OtherPACAPITAL BLUE CROSS
101553152MedicaidPA
1015531520001MedicaidPA
61360OtherPAGEISINGER HEALTH PLAN

Other names 1

  • Golden LivingCenter - West Shore Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1669423992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112302",
            "telephone_number": "717-763-7070",
            "fax_number": "717-763-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112302",
            "telephone_number": "717-763-7070",
            "fax_number": "717-763-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC CAMP HILL WEST SHORE 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": "280202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "000000119083",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1508302",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK CENTRAL FREEDOM",
            "identifier": "2139",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "395223",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101553152",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015531520001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "61360",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - West Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

  • 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.