Organization Active NPI

Cranford SNF LLC

  • Skilled Nursing Facility
  • Cranford, NJ
National Provider Identifier
1871220673
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 315091 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200185.3 residents per day on average
Chain
Atlas Healthcare29 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0706062Birchwood Rehabilitation & Healthcare Ctr205 Birchwood Avenue, Cranford, NJ 07016Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Tyh 2017 Trust Organization, Jackson, NJ 5% Or Greater Indirect Ownership Interest Aug 1, 2022 40%
Shlomo Goldberger Individual W-2 Managing EmployeeManager Aug 1, 2022
Gold NJ Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Aug 1, 2022 35%
Silver NJ Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Aug 1, 2022 35%
Pinchos Z Bak Individual Corporate OfficerPresident Aug 1, 2022
Copper NJ Trust Organization, Montebello, NY 5% Or Greater Indirect Ownership Interest Aug 1, 2022 20%
Cranford Holdco LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Aug 1, 2022 100%
Robert Meisner Individual 5% Or Greater Indirect Ownership InterestOwner Aug 1, 2022 9.9%
NJ Mazel Parentco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2022 50%
NJ Noble Parentco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2022 50%
SGS 2010 Family Trust Organization, Toms River, NJ 5% Or Greater Indirect Ownership Interest Aug 1, 2022 40%
Malt Family Trust Organization, Lakewood, NJ 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.

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.