GGNSC ERIE WESTERN RESERVE LP (NPI# 1891746178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891746178 |
| Entity Type | Organization |
| Organization Name | GGNSC ERIE WESTERN RESERVE LP |
| Other Organization Name | GOLDEN LIVINGCENTER - WESTERN RESERVE |
| Practice Address |
1521 W 54th St Erie PA 16509-2620 |
| Practice Telephone | 8148640671 |
| Practice Fax Number | 8148665681 |
| Mailing Telephone | 8148640671 |
| Mailing Fax Number | 8148665681 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 490802 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101551864 | 05 | |
| PA | HIGHMARK WESTERN PA | 0656 | 01 |
| PA | 1015518640001 | 05 | |
| NY | 00745097 | 05 | |
| PA | GATEWAY HEALTH PLAN | 1505090 | 01 |
| PA | UPMC | 318038 | 01 |
| PA | HEALTH AMERICA | 84012 | 01 |
| PA | THREE RIVERS HEALTH PLAN | 000000079448 | 01 |
| PA | ION HEALTH | 1007774460023 | 01 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Western Reserve | Doing Business As Name - Organization |
| Street Address |
1521 W 54TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174045694 | Kelsey Grode | Physical Therapist | 1521 W 54th St, Erie, PA 16509-2620 | 2017-07-17 |
| 1295281665 | Guardian Elder Care At Erie I LLC | Skilled Nursing Facility | 1521 W 54th St, Erie, PA 16509-2620 | 2016-08-26 |
| 1841631660 | Elizabeth Stephany Escajadillo | Physical Therapist | 1521 W 54th St, Erie, PA 16509-2620 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| 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 |
|---|---|---|---|---|
| 1699904433 | Erie Operating LLC | Skilled Nursing Facility | 4850 Zuck Rd, Erie, PA 16506 | 2009-07-14 |
| 1558434118 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1267 S Hill Rd, Erie, PA 16509-4831 | 2006-11-15 |
| 1831201946 | 4114 Schaper Avenue Operating Company, LLC | Skilled Nursing Facility | 4114 Schaper Avenue, Erie, PA 16508 | 2006-08-31 |
| 1003923566 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 1225 School Rd, Erie, PA 16505-2691 | 2006-08-23 |
| 1770595415 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 6351 W Lake Rd, Erie, PA 16505-2676 | 2006-08-12 |
| 1538115654 | Twinbrook Medical Center-erie Pa LLC | Skilled Nursing Facility | 3805 Field St, Erie, PA 16511-2825 | 2006-05-26 |
| 1184675563 | Ggnsc Erie II Lp | Skilled Nursing Facility | 2686 Peach St, Erie, PA 16508-1851 | 2006-05-12 |
| 1891786604 | The Ball Pavilion | Skilled Nursing Facility | 5416 E Lake Rd, Erie, PA 16511-1427 | 2005-11-01 |
| 1003804634 | Asbury Atlantic, Inc | Skilled Nursing Facility | 2301 Edinboro Rd, Erie, PA 16509-3409 | 2005-10-07 |
| 1508865627 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 2628 Elmwood Ave, Erie, PA 16508-1421 | 2005-07-20 |
| Find all providers in ERIE | ||||
Please comment or provide details below to improve the information on GGNSC ERIE WESTERN RESERVE LP.
| 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.