# GGNSC CANONSBURG LP

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

## Provider details

- **NPI number:** 1699726059
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 201 VILLAGE DR, CANONSBURG, PA 15317-2368
- **Practice address phone:** (724) 746-1300
- **Practice address fax:** (724) 746-0522
- **Mailing address:** 201 VILLAGE DR, CANONSBURG, PA 15317-2368
- **Mailing address phone:** (724) 746-1300
- **Mailing address fax:** (724) 746-0522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 193302 | PA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000102951 | THREE RIVERS HEALTH PLAN | PA |
| 01 | — | 0553 | HIGHMARK WESTERN PA | PA |
| 05 | — | 101548958 | — | PA |
| 05 | — | 1015489580001 | — | PA |
| 01 | — | 1515034 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 218342 | UPMC | PA |
| 01 | — | 523556 | US HEALTH | PA |
| 01 | — | 93569 | HEALTH AMERICA | PA |