Healthcare Provider Details

I. General information

NPI: 1407761976
Provider Name (Legal Business Name): GREEN PALMS HEALTH & REHAB CENTER OF SHELBY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W MAIN ST
SHELBY OH
44875-1412
US

IV. Provider business mailing address

225 W MAIN ST
SHELBY OH
44875-1412
US

V. Phone/Fax

Practice location:
  • Phone: 419-347-1266
  • Fax:
Mailing address:
  • Phone: 419-347-1266
  • 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: OWNER
Credential:
Phone: 646-290-1489