Organization Active NPI

Ggnsc Lewistown LP

Doing business as Golden LivingCenter - William Penn

  • Skilled Nursing Facility
  • Lewistown, PA
National Provider Identifier
1750332086
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
750602 Issued in PA
Legal business name
GGNSC LEWISTOWN LP
Doing business as
Golden LivingCenter - William Penn
Practice address
163 Summit Dr
Lewistown, PA 17044-1245
Phone
(717) 248-3941
Fax
(717) 242-2280
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 750602 PA Primary

Addresses

Primary practice location

163 Summit Dr
Lewistown, PA 17044-1245

Mailing address

163 Summit Dr
Lewistown, PA 17044-1245
Phone (717) 248-3941

Other identifiers 7

IdentifierTypeStateIssuer
1015518820001MedicaidPA
000000098244OtherPATHREE RIVERS HEALTH PLAN
1526899OtherPAGATEWAY HEALTH PLAN
101551882MedicaidPA
90745OtherPAHEALTH AMERICA
30970OtherPAGEISINGER HEALTH PLAN
395335OtherPACAPITAL BLUE CROSS

Other names 1

  • Golden LivingCenter - William Penn Doing business as

National Provider Directory

National Provider Directory

Locations

163 Summit Dr
Lewistown, PA 17044
Phone (717) 248-3941

NPI Registry JSON

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": "1750332086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SUMMIT DR",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441245",
            "telephone_number": "717-248-3941",
            "fax_number": "717-242-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 SUMMIT DR",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441245",
            "telephone_number": "717-248-3941",
            "fax_number": "717-242-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC LEWISTOWN 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": "750602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015518820001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "000000098244",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1526899",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101551882",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "90745",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "30970",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "395335",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - William Penn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewistown, PA

Sources for this page

  • 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.