Active NPI
Ggnsc Tunkhannock LP
Doing business as Golden LivingCenter - Tunkhannock
- Skilled Nursing Facility
- Tunkhannock, PA
National Provider Identifier
1841241171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 551002
- Legal business name
- GGNSC TUNKHANNOCK LP
- Doing business as
- Golden LivingCenter - Tunkhannock
- Practice address
- 30 Virginia Dr
Tunkhannock, PA 18657-1701 - Phone
- (570) 836-5166
- Fax
- (570) 836-7756
- NPI assigned
- May 12, 2006
- Last updated
- Jul 16, 2014
- 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
- Holly A. Rasmussen-Jones
- Title
- Sec. of the GP
- Phone
- (479) 201-4835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 551002 | PA | Primary |
Addresses
Primary practice location
30 Virginia Dr
Tunkhannock, PA 18657-1701
Mailing address
30 Virginia Dr
Tunkhannock, PA 18657-1701
Phone (570) 836-5166
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000132408 | Other | PA | THREE RIVERS HEALTH PLAN |
| 101548690 | Medicaid | PA | |
| 1526889 | Other | PA | GATEWAY HEALTH PLAN |
| 30965 | Other | PA | GEISINGER HEALTH PLAN |
| 1015486900001 | Medicaid | PA |
Other names 1
- Golden LivingCenter - Tunkhannock
National Provider Directory
National Provider DirectoryNPI 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": "1841241171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 VIRGINIA DR",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186571701",
"telephone_number": "570-836-5166",
"fax_number": "570-836-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 VIRGINIA DR",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186571701",
"telephone_number": "570-836-5166",
"fax_number": "570-836-7756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GGNSC TUNKHANNOCK 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": "551002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS HEALTH PLAN",
"identifier": "000000132408",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101548690",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1526889",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "30965",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015486900001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden LivingCenter - Tunkhannock",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tunkhannock, 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.