Organization Active NPI

Ggnsc Phoenixville II LP

Doing business as Golden LivingCenter - Phoenixville

  • Skilled Nursing Facility
  • Phoenixville, PA
National Provider Identifier
1841241254
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
160702 Issued in PA
Legal business name
GGNSC PHOENIXVILLE II LP
Doing business as
Golden LivingCenter - Phoenixville
Practice address
833 Main St
Phoenixville, PA 19460-4420
Phone
(610) 933-5867
Fax
(610) 935-8328
NPI assigned
May 12, 2006
Last updated
Jul 16, 2014By the provider in NPPES
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 160702 PA Primary

Addresses

Primary practice location

833 Main St
Phoenixville, PA 19460-4420

Mailing address

833 Main St
Phoenixville, PA 19460-4420
Phone (610) 933-5867

Other identifiers 3

IdentifierTypeStateIssuer
101554730MedicaidPA
0005375000OtherPAINDEPENDENCE BLUE CROSS
1015547300001MedicaidPA

Other names 1

  • Golden LivingCenter - Phoenixville Doing business as

National Provider Directory

National Provider Directory

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": "1841241254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 MAIN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604420",
            "telephone_number": "610-933-5867",
            "fax_number": "610-935-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 MAIN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604420",
            "telephone_number": "610-933-5867",
            "fax_number": "610-935-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC PHOENIXVILLE II 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": "160702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101554730",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0005375000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015547300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Phoenixville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenixville, 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.