Active NPI
Cranford SNF LLC
- Skilled Nursing Facility
- Cranford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CRANFORD SNF LLC
- Practice address
- 205 Birchwood Ave
Cranford, NJ 07016-2566 - Phone
- (908) 272-6660
- NPI assigned
- Aug 2, 2022
- Last updated
- Aug 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pinchos Bak
- Title
- Authorized Representative
- Phone
- (908) 783-3110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
205 Birchwood Ave
Cranford, NJ 07016-2566
Mailing address
205 Birchwood Ave
Cranford, NJ 07016-2566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221025003240 | NJ | Part A Provider - Skilled Nursing Facility | 3870969272 | Practice locations: Cranford, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871220673. Details of each certification follow.
Skilled nursing facility certification: CCN 315091
- Legal name
- CRANFORD SNF LLC
- Doing business as
- BIRCHWOOD REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1972
- Last certification
- Aug 6, 2024
- Beds
- 200
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 205 Birchwood Ave
Cranford, NJ 07016-2566 - Nursing home name
- BIRCHWOOD REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- ATLAS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Birchwood Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 1972
- Medicare certification status
- Active
- Certified beds
- 200
- Chain
- Atlas Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0706062 | Birchwood Rehabilitation & Healthcare Ctr | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tyh 2017 Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 40% |
| Shlomo Goldberger | W-2 Managing Employee | Aug 1, 2022 | |
| Gold NJ Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 35% |
| Silver NJ Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 35% |
| Pinchos Z Bak | Corporate Officer | Aug 1, 2022 | |
| Copper NJ Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 20% |
| Cranford Holdco LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2022 | 100% |
| Robert Meisner | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 9.9% |
| NJ Mazel Parentco LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 50% |
| NJ Noble Parentco LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 50% |
| SGS 2010 Family Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 40% |
| Malt Family Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2022 | 20% |
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Cape May Court House, NJ
- NPI 1134829435
Copper NJ Trust, Gold NJ Trust
-
- Skilled Nursing Facility
- Cranbury, NJ
- NPI 1356050405
Malt Family Trust, SGS 2010 Family Trust, Tyh 2017 Trust
-
dba Atlas Rehabilitation and Healthcare at Daughters of Moses
- Skilled Nursing Facility
- Clifton, NJ
- NPI 1851037121
Copper NJ Trust, Gold NJ Trust, Malt Family Trust, SGS 2010 Family Trust, Silver NJ Trust, Tyh 2017 Trust
-
- Skilled Nursing Facility
- Little Egg Harbor TWP, NJ
- NPI 1659082873
Copper NJ Trust, Gold NJ Trust, Malt Family Trust, NJ Noble Parentco LLC, SGS 2010 Family Trust, Tyh 2017 Trust
-
- Skilled Nursing Facility
- Raritan, NJ
- NPI 1811608037
Copper NJ Trust, Gold NJ Trust, Malt Family Trust, NJ Noble Parentco LLC, SGS 2010 Family Trust, Tyh 2017 Trust
-
- Skilled Nursing Facility
- Manchester, CT
- NPI 1437883675
Malt Family Trust, SGS 2010 Family Trust, Tyh 2017 Trust
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Roselle Park, NJ
- NPI 1033186739
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Student in an Organized Health Care Education/Training Program
- Cranford, NJ
- NPI 1144470600
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1871220673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BIRCHWOOD AVE",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BIRCHWOOD AVE",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162566",
"telephone_number": "908-272-6660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANFORD SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "BAK",
"authorized_official_first_name": "PINCHOS",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "908-783-3110"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranford, NJ
- Cranford Ophthalmology, P.a.
- Cranford Orthodontics
- Cranford Park Rehabilitation and Healthcare Center, LLC
- Cranford Pediatric Care LLC
- Cranford Public Schools
- Cranford Township
- CRNC Operating, LLC (Cranford Rehab & Nursing Center)
- CRNC Operating, LLC (Birchwood Square at Cranford)
- Siobhan Curry
- Gary S Cuttler, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.