Organization Active NPI

Ggnsc Scranton LP

  • Skilled Nursing Facility
  • Scranton, PA
National Provider Identifier
1902857212
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
010102 Issued in PA
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

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 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

IdentifierTypeStateIssuer
000000111867OtherPATHREE RIVERS HEALTH PLAN
1526897OtherPAGATEWAY HEALTH PLAN
30986OtherPAGEISINGER HEALTH PLAN
101551541MedicaidPA
1015515410001MedicaidPA
0263OtherPABLUE CROSS NORTHEAST PA

Other names 1

  • Golden LivingCenter - Scranton 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": "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.

Verify at the official NPI Registry.