GREEN ACRES REHABILITATION & NURSING CENTER NPI 1720041874

NPI Information

  • NPI: 1720041874
  • Provider Name: GREEN ACRES REHABILITATION & NURSING CENTER
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Address: 1401 IVY HILL RD
    WYNDMOOR, PA
    ZIP 19150
  • Phone: (215) 357-6055

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NPI Details

GREEN ACRES REHABILITATION & NURSING CENTER is a skilled nursing facility in Wyndmoor, PA. The provider is (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. GREEN ACRES REHABILITATION & NURSING CENTER NPI is 1720041874. The provider is registered as an organization entity type.

The provider's business location address is:

1401 IVY HILL RD
WYNDMOOR, PA
ZIP 19150-516
Phone: (215) 357-6055
Fax: (215) 357-6968

The provider's authorized official is Allen Segal .
The authorized official title is President and has the following contact phone number (215) 357-6055.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility591902PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10005891000OTHERBLUE CROSS
20005891000OTHERKEYSTONE 65
31027618OTHERKEYSTONE MERCY HEALTHPLAN
413111OTHERAETNA US HEALTHCARE
525206OTHERGREEN ACRES
60095121401OTHERAMERICHOICE
7PA235OTHERPENNSYLVANIAELDERHEALTH
80095121400001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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