# GREEN ACRES REHABILITATION & NURSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720041874
- **Authorized official:** ALLEN SEGAL (PRESIDENT)
- **Authorized official phone:** (215) 357-6055

## Contact information

- **Practice address:** 1401 IVY HILL RD, WYNDMOOR, PA 19150-1516
- **Practice address phone:** (215) 357-6055
- **Practice address fax:** (215) 357-6968
- **Mailing address:** 4 IVYBROOK BLVD, IVYLAND, PA 18974-1700
- **Mailing address phone:** (215) 357-6055
- **Mailing address fax:** (215) 357-6968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 591902 | PA | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005891000 | KEYSTONE 65 | — |
| 05 | — | 0095121400001 | — | PA |
| 01 | — | 0095121401 | AMERICHOICE | — |
| 01 | — | 1027618 | KEYSTONE MERCY HEALTHPLAN | — |
| 01 | — | 13111 | AETNA US HEALTHCARE | — |
| 01 | — | 25206 | GREEN ACRES | — |
| 01 | — | PA235 | ELDERHEALTH | PA |