GGNSC WATERTOWN LLC


Address: 121 Hospital Dr, Watertown, WI 53098-3303
Phone: 9202619220

GGNSC WATERTOWN LLC (NPI# 1396795019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396795019
Entity Type Organization
Organization Name GGNSC WATERTOWN LLC
Other Organization Name GOLDEN LIVINGCENTER - WATERTOWN
Practice Address 121 Hospital Dr
Watertown
WI 53098-3303
Practice Telephone 9202619220
Practice Fax Number 9202619208
Mailing Telephone 9202619220
Mailing Fax Number 9202619208
Enumeration Date 2006-05-11
Last Update Date 2014-07-17
Authorized Official Name HOLLY A. RASMUSSEN-JONES (SECRETARY)
Authorized Official Telephone 4792014835
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 2696 WI Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI SECURITY HEALTH PLAN 525333 01
WI 20197000 05

Other Provider/Organization Names

Other Name Type Code
Golden LivingCenter - Watertown Doing Business As Name - Organization

Office Location

Street Address 121 HOSPITAL DR
City WATERTOWN
State WI
Zip Code 53098-3303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033726245 Brenna Murphy Physical Therapist 121 Hospital Dr, Watertown, WI 53098-3303 2020-09-30
1134733942 Christine Schlaug Speech-Language Pathologist 121 Hospital Dr, Watertown, WI 53098-3303 2020-08-31
1972154011 Bedrock Hcs At Watertown LLC Skilled Nursing Facility 121 Hospital Dr, Watertown, WI 53098-3303 2019-09-20
1952956633 Meghan Marie Supple Speech-Language Pathologist 121 Hospital Dr, Watertown, WI 53098-3303 2019-08-08
1033632849 Kayla Nicole Danks Physical Therapy Assistant 121 Hospital Dr, Watertown, WI 53098-3303 2017-07-24
1841713591 Nicholas Earl Hoening Physical Therapist 121 Hospital Dr, Watertown, WI 53098-3303 2017-07-24
1285186494 Dycora Transitional Health - Watertown LLC Skilled Nursing Facility 121 Hospital Dr, Watertown, WI 53098-3303 2016-11-04
1710376033 Herbert Scott Royce Physical Therapy Assistant 121 Hospital Dr, Watertown, WI 53098-3303 2015-01-12
1215175468 Kimberly Falkenthal Speech-Language Pathologist 121 Hospital Dr, Watertown, WI 53098-3303 2009-01-27
1982878948 Jeffrey Brian Mahan Physical Therapist 121 Hospital Dr, Watertown, WI 53098-3303 2008-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528558749 Watertown Physician Practices LLC Eyewear Supplier (Equipment, not the service) 123 Hospital Dr Ste 2005, Watertown, WI 53098 2018-05-14
1851822076 Fort Health Care Inc Otolaryngology 123 Hospital Dr Suite 106a, Watertown, WI 53098 2017-03-21
1598045692 Bonnie Kay Peot Licensed Practical Nurse 1420 Wedgewood Drive, Watertown, WI 53098 2011-08-19
1275790404 Kathy R. Adkins Physical Therapy Assistant 1020 Hill Street, Watertown, WI 53098 2008-05-16
1336361294 Patrice Walter Occupational Therapist 125 Hospital Dr., Watertown, WI 53098 2007-05-02
1720161284 Carolyn T Schneider-donley Optometrist 622 N. Church Street, Watertown, WI 53098 2006-10-20
1730156431 Mohamed H Yafai Internal Medicine 123 Hospital Drive, Suite 2009, Watertown, WI 53098 2006-03-02
1093711236 Dana M. Fields Physician Assistant 134 Hospital Drive, Watertown, WI 53098 2005-06-22
1528560018 Watertown Medical Center LLC Psychiatric Unit 125 Hospital Drive, Watertown, WI 53098 2018-03-01
1437544863 Zachary Richardson Internal Medicine 125 Hospital Dr, Watertown, WI 53098 2015-04-02
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194060145 Samaritan Senior Village, Inc. Skilled Nursing Facility 22691 Campus Drive, Watertown, NY 13601-0050 2012-12-03
1558430256 Waterbury Extended Care Facility, Inc. Skilled Nursing Facility 35 Bunker Hill Rd, Watertown, CT 06795-3304 2006-11-07
1093808081 Mvm Inc Skilled Nursing Facility 560 Woodbury Rd, Watertown, CT 06795-1725 2006-10-02
1073543450 Prairie Lakes Healthcare Skilled Nursing Facility 415 4th Ave Ne, Watertown, SD 57201-2614 2006-07-03
1336197839 Samaritan Keep Nursing Home Inc Skilled Nursing Facility 133 Pratt St, Watertown, NY 13601-4300 2006-05-05
1356339006 Elim Homes, Inc. Skilled Nursing Facility 409 Jefferson Ave Sw, Watertown, MN 55388-9250 2005-10-07
1508852864 Nash Associates, Inc. Skilled Nursing Facility 59 Coolidge Hill Rd, Watertown, MA 02472-2816 2005-09-22
1255333803 Jenkins Living Center, Inc. Skilled Nursing Facility 215 S Maple, Watertown, SD 57201-4316 2005-08-12
1821091323 Marquardt Memorial Manor, Inc. Skilled Nursing Facility 1020 Hill St, Watertown, WI 53098-3016 2005-05-27
1588296313 Vero Health Xiv, LLC Skilled Nursing Facility 59 Coolidge Hill Rd, Watertown, MA 02472-2816 2020-02-10
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Competitor

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City WATERTOWN
Zip Code 53098

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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