Ggnsc Canonsburg LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

193302 Issued in PA

Legal business name

GGNSC CANONSBURG LP

Doing business as

Golden LivingCenter - South Hills

Practice address

201 Village Dr
Canonsburg, PA 15317-2368

Phone

(724) 746-1300

Fax

(724) 746-0522

NPI assigned

May 12, 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

Sec of the GP

Phone

(479) 201-4835

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Golden LivingCenter - South Hills Doing business as

Locations

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": "1699726059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VILLAGE DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172368",
            "telephone_number": "724-746-1300",
            "fax_number": "724-746-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VILLAGE DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172368",
            "telephone_number": "724-746-1300",
            "fax_number": "724-746-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC CANONSBURG 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": "193302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1515034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "000000102951",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK WESTERN PA",
            "identifier": "0553",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101548958",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015489580001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "218342",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH",
            "identifier": "523556",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "93569",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - South Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Doris Frezza Batts, DO
• Brittany Leigh Garrett, OTR/L
• Emily Ryan Gass, LCSW
• Raymond Charles George Jr., LPC
• Charity Joy Geskin, FNP
• Collette Gibbons, MSN, PMHNP, FNP
• Danielle Gielarowski
• Taranjit Gill
• Donna B. Gisleson, MSN, CRNP
• Ada Goldsmith, DMD

• Skilled Nursing Facility in Canonsburg, PA
• Providers in Canonsburg, 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 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.