Green Acres Health Services Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100144 Issued in KY

Legal business name

GREEN ACRES HEALTH SERVICES INC

Doing business as

Green Acres Health Care

Practice address

402 W Farthing St
Mayfield, KY 42066-2900

Phone

(270) 247-6477

Fax

(270) 247-0712

NPI assigned

Aug 20, 2008

Last updated

Mar 24, 2009By 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

Mr. Terry L Skaggs

Title

Chief Financial Officer

Phone

(270) 926-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Acres Health Care Doing business as

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1932356144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016185",
            "telephone_number": "270-926-9355",
            "fax_number": "270-684-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W FARTHING ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662900",
            "telephone_number": "270-247-6477",
            "fax_number": "270-247-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "270-926-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100062260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Graves County Health Services PSC (Total Health Chiropractic)
• Graves Emergency Group LLC
• Graves Physician Services LLC
• Tina Renee Gray, MSCCC-SLP
• Green Acres Health Care
• Bryan Thomas Green, PT, DPT
• Susanne Greene, ARNP
• Ryan O'Neil Griffith, CADCA1
• Kayce Lynne Guthrie, MHA, BSW
• Teresa Jo Hagan

• Skilled Nursing Facility in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.