GGNSC BLOOMFIELD LLC (NPI# 1477504934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477504934 |
| Entity Type | Organization |
| Organization Name | GGNSC BLOOMFIELD LLC |
| Other Organization Name | GOLDEN LIVINGCENTER - BLOOMFIELD |
| Practice Address |
606 W Missouri St Bloomfield MO 63825-9706 |
| Practice Telephone | 5735682137 |
| Practice Fax Number | 5735689906 |
| Mailing Telephone | 5735682137 |
| Mailing Fax Number | 5735689906 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | HOLLY A. RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 031399 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101456002 | 05 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Bloomfield | Doing Business As Name - Organization |
| Street Address |
606 W MISSOURI ST |
| City | BLOOMFIELD |
| State | MO |
| Zip Code | 63825-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114457041 | Megan Marie Mayhall | Speech-Language Pathologist | 606 W Missouri St, Bloomfield, MO 63825-9706 | 2017-06-13 |
| 1477008779 | N & R of Bloomfield LLC | Skilled Nursing Facility | 606 W Missouri St, Bloomfield, MO 63825-9706 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073039715 | Susan L Shea | Counselor | 402 Barbara Street, Bloomfield, MO 63825 | 2017-08-15 |
| 1750571931 | Robin Denise Osborn | Counselor | 206 S Prairie Street, Bloomfield, MO 63825 | 2007-07-25 |
| 1265575385 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 1003 State Hwy 25 North, Bloomfield, MO 63825 | 2007-02-15 |
| 1588714992 | Bloomfield R-14 Schools | Local Education Agency (LEA) | 505 Court St., Bloomfield, MO 63825 | 2007-01-11 |
| 1326108226 | Dexter Hospital LLC | Internal Medicine | 1003 Highway 25 North, Bloomfield, MO 63825 | 2006-12-11 |
| 1245317700 | Amy Holland | Nurse Practitioner | 1003 Hwy 25 N, Bloomfield, MO 63825 | 2006-11-01 |
| 1225112345 | Town Pharmacy Inc. | Pharmacy | 700 Highway 25 South, Bloomfield, MO 63825 | 2006-10-25 |
| 1114015682 | Cecil Ray Vincent Sr. | Pharmacist | 302 S Prairie, Bloomfield, MO 63825 | 2006-10-10 |
| 1033182092 | Peter W Somers | Family Medicine | 101 South Prairie Street, Bloomfield, MO 63825 | 2006-02-09 |
| 1023424041 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 101 South Prairie Street, Bloomfield, MO 63825 | 2014-07-10 |
| Find all providers in zip 63825 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285851998 | Duncaster Incorporated | Skilled Nursing Facility | 10 Loeffler Rd, Bloomfield, CT 06002-2256 | 2007-04-20 |
| 1649338567 | Bloomfield Health Care Center of Connecticut LLC | Skilled Nursing Facility | 355 Park Ave, Bloomfield, CT 06002-3105 | 2006-12-04 |
| 1457306730 | Silverstone Healthcare of Bloomfield, LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2006-05-24 |
| 1437102068 | Davis County Hospital | Skilled Nursing Facility | 509 N Madison St, Bloomfield, IA 52537-1271 | 2006-05-17 |
| 1114991437 | Job Haines Home for Aged People | Skilled Nursing Facility | 250 Bloomfield Ave, Bloomfield, NJ 07003-5689 | 2006-02-14 |
| 1073594511 | Cpl Park Manor LLC | Skilled Nursing Facility | 23 Park Place, Bloomfield, NJ 07003-3513 | 2005-11-10 |
| 1174525760 | Abcm Corporation | Skilled Nursing Facility | 800 N Davis St, Bloomfield, IA 52537-1107 | 2005-08-12 |
| 1174526099 | Health Care Investors, Inc. D/b/a/ Alexandria Manor | Skilled Nursing Facility | 55 Tunxis Ave, Bloomfield, CT 06002-2005 | 2005-05-24 |
| 1134607690 | 803 Hacienda Lane Operations LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2018-08-06 |
| 1477008779 | N & R of Bloomfield LLC | Skilled Nursing Facility | 606 W Missouri St, Bloomfield, MO 63825-9706 | 2016-08-17 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 63825 |
Please comment or provide details below to improve the information on GGNSC BLOOMFIELD LLC.
| 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.