Ggnsc Tilden LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

524008 Issued in NE

Legal business name

GGNSC TILDEN LLC

Doing business as

Golden LivingCenter - Tilden

Practice address

401 Park St
Tilden, NE 68781-4827

Phone

(402) 368-5335

Fax

(402) 368-5615

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly A. Rasmussen-Jones

Title

Secretary

Phone

(479) 201-4835

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden LivingCenter - Tilden Doing business as

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871545285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PARK ST",
            "city": "TILDEN",
            "state": "NE",
            "postal_code": "687814827",
            "telephone_number": "402-368-5335",
            "fax_number": "402-368-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARK ST",
            "city": "TILDEN",
            "state": "NE",
            "postal_code": "687814827",
            "telephone_number": "402-368-5335",
            "fax_number": "402-368-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGNSC TILDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN-JONES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-201-4835"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "524008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025404000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Tilden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Tilden, NE
• Providers in Tilden, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.