Active NPI
Ggnsc Camp Hill West Shore LP
- Skilled Nursing Facility
- Camp Hill, PA
National Provider Identifier
1669423992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 280202
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000119083 | Other | PA | THREE RIVERS HEALTH PLAN |
| 1508302 | Other | PA | GATEWAY HEALTH PLAN |
| 2139 | Other | PA | HIGHMARK CENTRAL FREEDOM |
| 395223 | Other | PA | CAPITAL BLUE CROSS |
| 101553152 | Medicaid | PA | |
| 1015531520001 | Medicaid | PA | |
| 61360 | Other | PA | GEISINGER HEALTH PLAN |
Other names 1
- Golden LivingCenter - West Shore
National Provider Directory
National Provider DirectoryNPI 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.