Active NPI
Ggnsc Scranton LP
- Skilled Nursing Facility
- Scranton, PA
National Provider Identifier
1902857212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 010102
- Legal business name
- GGNSC SCRANTON LP
- Practice address
- 824 Adams Ave
Scranton, PA 18510-1002 - Phone
- (570) 346-5704
- Fax
- (570) 347-5057
- NPI assigned
- May 12, 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
- 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 | 010102 | PA | Primary |
Addresses
Primary practice location
824 Adams Ave
Scranton, PA 18510-1002
Mailing address
824 Adams Ave
Scranton, PA 18510-1002
Phone (570) 346-5704
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000111867 | Other | PA | THREE RIVERS HEALTH PLAN |
| 1526897 | Other | PA | GATEWAY HEALTH PLAN |
| 30986 | Other | PA | GEISINGER HEALTH PLAN |
| 101551541 | Medicaid | PA | |
| 1015515410001 | Medicaid | PA | |
| 0263 | Other | PA | BLUE CROSS NORTHEAST PA |
Other names 1
- Golden LivingCenter - Scranton
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": "1902857212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 ADAMS AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101002",
"telephone_number": "570-346-5704",
"fax_number": "570-347-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 ADAMS AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101002",
"telephone_number": "570-346-5704",
"fax_number": "570-347-5057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GGNSC SCRANTON 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": "010102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS HEALTH PLAN",
"identifier": "000000111867",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1526897",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "30986",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101551541",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015515410001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NORTHEAST PA",
"identifier": "0263",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden LivingCenter - Scranton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scranton, 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.