Green Acres Healthcare and Rehab Center

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0052365 Issued in IL

Legal business name

GREEN ACRES HEALTHCARE AND REHAB CENTER

Practice address

15 W Wasson Rd
Amboy, IL 61310-1141

Phone

(815) 857-2550

Fax

(815) 857-4016

NPI assigned

Jul 2, 2013

Last updated

Jul 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheldon Wolfe

Title

President

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1801236005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W WASSON RD",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613101141",
            "telephone_number": "815-857-2550",
            "fax_number": "815-857-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W WASSON RD",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613101141",
            "telephone_number": "815-857-2550",
            "fax_number": "815-857-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES HEALTHCARE AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0052365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Amboy, IL
• Providers in Amboy, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.