# GGNSC SHIPPENVILLE LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden LivingCenter - Shippenville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467403782
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 21158 PAINT BLVD, SHIPPENVILLE, PA 16254-4024
- **Practice address phone:** (814) 226-5660
- **Practice address fax:** (814) 226-9896
- **Mailing address:** 21158 PAINT BLVD, SHIPPENVILLE, PA 16254-4024
- **Mailing address phone:** (814) 226-5660
- **Mailing address fax:** (814) 226-9896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 026002 | PA | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 07/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000079446 | THREE RIVERS HEALTH PLAN | PA |
| 01 | — | 0654 | HIGHMARK WESTERN PA | PA |
| 05 | — | 101558130 | — | PA |
| 05 | — | 1015581300001 | — | PA |
| 01 | — | 126258 | HEALTH AMERICA | PA |
| 01 | — | 1518751 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 312367 | UPMC | PA |