{"npi":"1720041874","type":"NPI-2","status":"active","name":{"display":"Green Acres Rehabilitation & Nursing Center","other":[],"organization_name":"GREEN ACRES REHABILITATION & NURSING CENTER","authorised_official":"Allen Segal"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"PA","license":"591902"}]},"addresses":[{"purpose":"LOCATION","street_1":"1401 IVY HILL RD","city":"WYNDMOOR","state":"PA","postal_code":"191501516","country_code":"US","phone":"2153576055","fax":"2153576968"},{"purpose":"MAILING","street_1":"4 IVYBROOK BLVD","city":"IVYLAND","state":"PA","postal_code":"189741700","country_code":"US","phone":"2153576055","fax":"2153576968"}],"license":{"state":"PA","number":"591902"},"identifiers":[{"type_code":"01","label":"Other","value":"13111","state":null,"issuer":"AETNA US HEALTHCARE"},{"type_code":"01","label":"Other","value":"25206","state":null,"issuer":"GREEN ACRES"},{"type_code":"05","label":"Medicaid","value":"0095121400001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"1027618","state":null,"issuer":"KEYSTONE MERCY HEALTHPLAN"},{"type_code":"01","label":"Other","value":"0005891000","state":null,"issuer":"KEYSTONE 65"},{"type_code":"01","label":"Other","value":"PA235","state":"PA","issuer":"ELDERHEALTH"},{"type_code":"01","label":"Other","value":"0005891000","state":null,"issuer":"BLUE CROSS"},{"type_code":"01","label":"Other","value":"0095121401","state":null,"issuer":"AMERICHOICE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-04-10","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}