Provider Demographics
NPI:1922059237
Name:GGNSC OAKMONT LP
Entity Type:Organization
Organization Name:GGNSC OAKMONT LP
Other - Org Name:GOLDEN LIVINGCENTER - OAKMONT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC. OF THE GP
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RASMUSSEN-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-201-4835
Mailing Address - Street 1:26 ANN ST
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2005
Mailing Address - Country:US
Mailing Address - Phone:412-828-7300
Mailing Address - Fax:412-828-2669
Practice Address - Street 1:26 ANN ST
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2005
Practice Address - Country:US
Practice Address - Phone:412-828-7300
Practice Address - Fax:412-828-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA410102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0668OtherHIGHMARK WESTERN PA
PA101551265Medicaid
PA18447OtherHEALTH AMERICA
PA1506296OtherGATEWAY HEALTH PLAN
PA000000079443OtherTHREE RIVERS HEALTH PLAN
PA306020OtherUPMC
PA1015512650001Medicaid
PA1015512650001Medicaid
PA0668OtherHIGHMARK WESTERN PA