GGNSC GLENDALE LLC (NPI# 1831149558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831149558 |
| Entity Type | Organization |
| Organization Name | GGNSC GLENDALE LLC |
| Other Organization Name | GOLDEN LIVINGCENTER - COLONIAL MANOR |
| Practice Address |
1616 W Bender Rd Glendale WI 53209-3802 |
| Practice Telephone | 4142288700 |
| Practice Fax Number | 4142289946 |
| Mailing Telephone | 4142288700 |
| Mailing Fax Number | 4142289946 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3178 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20197300 | 05 | |
| WI | SECURITY HEALTH PLAN | 525309 | 01 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Colonial Manor | Doing Business As Name - Organization |
| Street Address |
1616 W BENDER RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942862073 | Stephanie Lynn Kliment | Occupational Therapy Assistant | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2019-06-28 |
| 1023678398 | Kayla Diesner | Speech-Language Pathologist | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2019-06-18 |
| 1659844504 | Hannah Jeanson | Occupational Therapy Assistant | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2019-01-03 |
| 1528555414 | Ruth Lawrence | Speech-Language Pathologist | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2018-04-17 |
| 1043727670 | Jena Johnson | Physical Therapy Assistant | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2018-01-04 |
| 1396259404 | Rebecca Ann King | Occupational Therapy Assistant | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2017-11-28 |
| 1326576091 | Kenneth Greetan | Physical Therapy Assistant | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2017-05-25 |
| 1245781418 | Dycora Transitional Health - Milwaukee LLC | Skilled Nursing Facility | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2016-10-21 |
| 1407223118 | Eric Schmidt | Occupational Therapy Assistant | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2015-08-28 |
| 1306230438 | Victoria Ross | Occupational Therapy Assistant | 1616 W Bender Rd, Glendale, WI 53209-3802 | 2015-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| 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. |
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| 1568929891 | Family Care Clhf, Inc. | Skilled Nursing Facility | 1412 Cleveland Rd, Glendale, CA 91202-1415 | 2019-02-22 |
| 1831645282 | Glendale House Clhs, Inc. | Skilled Nursing Facility | 620 Myrtle St, Glendale, CA 91203-1612 | 2016-08-26 |
| 1881085728 | Center At Arrowhead, LLC | Skilled Nursing Facility | 7201 W. Camino San Xavier Ave., Glendale, AZ 85308 | 2015-02-13 |
| 1740543545 | Kindred | Skilled Nursing Facility | 5677 N Argyle Ave, Glendale, WI 53209-4359 | 2012-06-18 |
| 1447498852 | Ahc of Glendale LLC | Skilled Nursing Facility | 16825 N 63rd Avenue, Glendale, AZ 85306-1001 | 2009-01-23 |
| 1043335979 | Andrea M Martell | Skilled Nursing Facility | 17600 N 79th Ave, Apt 102, Glendale, AZ 85308-8682 | 2007-03-20 |
| 1164575320 | Central Convalescent Hospital of Glendale Inc | Skilled Nursing Facility | 525 S Central Ave, Glendale, CA 91204-2006 | 2007-01-19 |
| 1154474302 | Dakota Medical Inc. | Skilled Nursing Facility | 409 W Glenoaks Blvd, Glendale, CA 91202-2916 | 2007-01-19 |
| 1053480418 | Broadway Manor Care Center Inc | Skilled Nursing Facility | 605 W Broadway, Glendale, CA 91204-1007 | 2006-11-07 |
| Find all providers in GLENDALE | ||||
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| 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.