Healthcare Provider Details

I. General information

NPI: 1366376824
Provider Name (Legal Business Name): GREEN PALMS HEALTH & REHAB CENTER AT CRAWFORD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 CRAWFORD RD
CLEVELAND OH
44106-2030
US

IV. Provider business mailing address

185 ROUTE 70 STE 208
TOMS RIVER NJ
08755-0911
US

V. Phone/Fax

Practice location:
  • Phone: 732-519-0735
  • Fax:
Mailing address:
  • Phone: 732-519-0735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BINYOMIN FRIED
Title or Position: OPERATOR
Credential:
Phone: 646-290-1489