Organization Active NPI

Golden Empire Nursing & Rehab Center LP

  • Skilled Nursing Facility
  • Grass Valley, CA
National Provider Identifier
1710089255
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000135 Issued in CA
Legal business name
GOLDEN EMPIRE NURSING & REHAB CENTER LP
Practice address
121 Dorsey Dr
Grass Valley, CA 95945-5201
Phone
(530) 273-1316
Fax
(530) 273-4809
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Vicki Young
Title
Administrator
Phone
(530) 273-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230000135 CA Primary

Addresses

Primary practice location

121 Dorsey Dr
Grass Valley, CA 95945-5201

Mailing address

121 Dorsey Dr
Grass Valley, CA 95945-5201
Phone (530) 273-1316

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06391GMedicaidCA

Other names 1

  • Golden Empire Convalescent Hospital Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1710089255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DORSEY DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455201",
            "telephone_number": "530-273-1316",
            "fax_number": "530-273-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DORSEY DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455201",
            "telephone_number": "530-273-1316",
            "fax_number": "530-273-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EMPIRE NURSING & REHAB CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-273-1316"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06391G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Empire Convalescent Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.