# GGNSC WARREN II LP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790736999
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 121 CENTRAL AVE, WARREN, PA 16365-2910
- **Practice address phone:** (814) 726-1420
- **Practice address fax:** (814) 726-9054
- **Mailing address:** 121 CENTRAL AVE, WARREN, PA 16365-2910
- **Mailing address phone:** (814) 726-1420
- **Mailing address fax:** (814) 726-9054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 230402 | PA | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00895212 | — | NY |
| 01 | — | 0833 | HIGHMARK WESTERN PA | PA |
| 05 | — | 1015584350001 | — | PA |
| 01 | — | 1523924 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 238587 | HEALTH AMERICA | PA |
| 01 | — | 315392 | UPMC | PA |
| 01 | — | 92711 | THREE RIVERS HEALTH PLAN | PA |