Active NPI
Golden Empire Nursing & Rehab Center LP
- Skilled Nursing Facility
- Grass Valley, CA
National Provider Identifier
1710089255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 230000135
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR06391G | Medicaid | CA |
Other names 1
- Golden Empire Convalescent Hospital
National Provider Directory
National Provider DirectoryNPI 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
- Raymond Ben Goins, CASI
- Gold Country Hearing Center, Inc.
- Gold Country Hospitalists, the Hospitalist Service, Inc.
- Gold Country Telecare, Inc
- Gold Hearth Holistic LLC
- Golden State Physical Therapy Inc
- Golden State Physicians Medical Group
- Bruce Eric Golder, DDS
- Miranda Goldfarb, LICSW
- Daniel L Goldsmith, M.D.
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.