Organization Active NPI

Greenacres Health Systems

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Warminster, PA
National Provider Identifier
1235241134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
4000006503 Issued in PA
Legal business name
GREENACRES HEALTH SYSTEMS
Practice address
4 Ivybrook Blvd
Warminster, PA 18974-1700
Phone
(215) 357-6055
Fax
(215) 357-6968
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Ray Segal
Title
Executive Vice President
Phone
(215) 357-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 4000006503 PA Primary

Addresses

Primary practice location

4 Ivybrook Blvd
Warminster, PA 18974-1700

Mailing address

4 Ivybrook Blvd
Ivyland, PA 18974
Phone (215) 357-6055

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235241134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 IVYBROOK BLVD",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "18974",
            "telephone_number": "215-357-6055",
            "fax_number": "215-357-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 IVYBROOK BLVD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189741700",
            "telephone_number": "215-357-6055",
            "fax_number": "215-357-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENACRES HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "215-357-6055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "4000006503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.