Ggnsc Camden LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

807 Issued in AR

Legal business name

GGNSC CAMDEN LLC

Practice address

900 Magnolia Rd
Camden, AR 71701-4626

Phone

(870) 836-6833

Fax

(870) 837-2732

NPI assigned

May 16, 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

Secretary

Phone

(479) 201-4835

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden LivingCenter - Camden 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": "1669424800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAGNOLIA RD",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014626",
            "telephone_number": "870-836-6833",
            "fax_number": "870-837-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAGNOLIA RD",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014626",
            "telephone_number": "870-836-6833",
            "fax_number": "870-837-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC CAMDEN 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": "807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159 986 311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Camden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Forrest, PTA
• Kimberly L Frazier
• Lindsey Freeland, APRN
• Frances Caroline Fridell
• Garden Oaks Pharmacy Inc
• Shelly Gilbert, COTA/L
• Patrick Lashane Gillette Jr., LAC
• Akquilla Golatt
• Golden Triangle Services, Inc
• Terry Arnette Gordon, DNP,APRN,AGACNP-BC

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