Golden Hill Nursing and Rehab LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

850302 Issued in PA

Legal business name

GOLDEN HILL NURSING AND REHAB LP

Practice address

520 Friendship St
New Castle, PA 16101-4596

Phone

(724) 654-7791

Fax

(724) 654-7891

NPI assigned

Jun 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven D Tack

Title

Ceo

Phone

(724) 431-0770

Specialties & licenses 1

Addresses

Other identifiers 6

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1679575989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRIENDSHIP ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014596",
            "telephone_number": "724-654-7791",
            "fax_number": "724-654-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRIENDSHIP ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014596",
            "telephone_number": "724-654-7791",
            "fax_number": "724-654-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HILL NURSING AND REHAB LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "TACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-431-0770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "850302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOP ADMINISTRATOR - PSERS",
            "identifier": "25-1150339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "215867",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007452610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "76398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1502705",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J Geramita, DC
• Giant Eagle Inc
• William Northwood Gilleland Jr., M.D.
• Douglas Clinton Glenn, DC
• Shirley Goehring, RN
• Golden Hill Nursing Home, Inc.
• Gerard Christopher Golub
• Andrew Jordan Gonzales
• Goodwill Pharmacy Inc
• Grace Woods Personal Care Center Opco LLC

• Skilled Nursing Facility in New Castle, PA
• Providers in New Castle, 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 Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.