# GGNSC PHOENIXVILLE 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 - Phoenixville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841241254
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 833 MAIN ST, PHOENIXVILLE, PA 19460-4420
- **Practice address phone:** (610) 933-5867
- **Practice address fax:** (610) 935-8328
- **Mailing address:** 833 MAIN ST, PHOENIXVILLE, PA 19460-4420
- **Mailing address phone:** (610) 933-5867
- **Mailing address fax:** (610) 935-8328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 160702 | PA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005375000 | INDEPENDENCE BLUE CROSS | PA |
| 05 | — | 101554730 | — | PA |
| 05 | — | 1015547300001 | — | PA |