PAVILION CARE CENTER LLC (NPI# 1073588141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073588141 |
| Entity Type | Organization |
| Organization Name | PAVILION CARE CENTER LLC |
| Other Organization Name | THE PAVILION |
| Practice Address |
705 Fulton St Sidney OH 45365-3203 |
| Practice Telephone | 9374929591 |
| Practice Fax Number | 9374980529 |
| Mailing Telephone | 9374929591 |
| Mailing Fax Number | 9374980529 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | MS. CAROL J GROEBER (VICE PRESIDENT/MIS) |
| Authorized Official Telephone | 9379648974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2308078 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2308078 | 05 |
| Other Name | Type Code |
|---|---|
| The Pavilion | Doing Business As Name - Organization |
| Street Address |
705 FULTON ST |
| City | SIDNEY |
| State | OH |
| Zip Code | 45365-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488612 | Sidney Snf, Inc | Skilled Nursing Facility | 705 Fulton St, Sidney, OH 45365-3203 | 2018-05-29 |
| 1114301371 | Pv Snf LLC | Skilled Nursing Facility | 705 Fulton St, Sidney, OH 45365-3203 | 2015-07-16 |
| 1912167644 | Adcare Health Systems, Inc. | Clinical Medical Laboratory | 705 Fulton St, Sidney, OH 45365-3203 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750881660 | Mary Jean Carpenter | Social Worker | 2338 Aldrin Dr, Sidney, OH 45365 | 2018-02-16 |
| 1568979045 | Healthstat Onsiet Clinic Nk Parts | Preventive Medicine | 800 S Kuther Rd, Sidney, OH 45365 | 2018-01-05 |
| 1225565427 | Courtney Lynn Spearman | Speech-Language Pathologist | 1152 St. Marys Avenue, Sidney, OH 45365 | 2017-05-18 |
| 1710381439 | Tammy Bridenbaugh | Nursing Care | 1028 N. Broadway, Sidney, OH 45365 | 2014-10-09 |
| 1568897346 | Rachelle Kistner | Counselor | 1065 Fairington Dr, Sidney, OH 45365 | 2013-09-11 |
| 1073955670 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 | 2013-07-24 |
| 1023350394 | Honey Gem Drinnen | Licensed Practical Nurse | 416 Ironwood Drive, Sidney, OH 45365 | 2013-03-25 |
| 1376853325 | Jamey Leigh Hepner | Nurse Practitioner | 1101 N Vandemark Rd, Sidney, OH 45365 | 2010-10-08 |
| 1578701850 | Fairlawn Local Schools | Local Education Agency (LEA) | 18000 Johnston Rd, Sidney, OH 45365 | 2009-01-26 |
| 1730345398 | Angela Castle | Counselor | 1101 N Vandermark Rd., Sidney, OH 45365 | 2008-08-04 |
| Find all providers in zip 45365 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475001 | D Clark | Skilled Nursing Facility | 1412 Garfield Ave, Sidney, OH 45365-1726 | 2014-07-17 |
| 1376690461 | Shelby County Ohio | Skilled Nursing Facility | 2901 Fair Rd, Sidney, OH 45365-9534 | 2007-01-04 |
| 1760434179 | Ggnsc Sidney LLC | Skilled Nursing Facility | 1435 Toledo St, Sidney, NE 69162-2166 | 2006-05-16 |
| 1154305332 | Chs - Miami Valley, Inc | Skilled Nursing Facility | 510 Buckeye Ave, Sidney, OH 45365-1214 | 2005-12-01 |
| 1760478952 | Ohio Living Communities | Skilled Nursing Facility | 3003 Cisco Rd, Sidney, OH 45365-9343 | 2005-09-22 |
| 1144799263 | Fhs Sidney, Inc. | Skilled Nursing Facility | 510 Buckeye Ave, Sidney, OH 45365-1214 | 2018-11-19 |
| 1811488612 | Sidney Snf, Inc | Skilled Nursing Facility | 705 Fulton St, Sidney, OH 45365-3203 | 2018-05-29 |
| 1114301371 | Pv Snf LLC | Skilled Nursing Facility | 705 Fulton St, Sidney, OH 45365-3203 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1508492174 | Majestic Care of Paulding LLC | Skilled Nursing Facility | 199 Road 103, Paulding, OH 45879-8776 | 2020-03-16 |
| 1548890338 | Trilogy Healthcare of Gahanna, LLC | Skilled Nursing Facility | 748 Taylor Rd, Gahanna, OH 43230-3203 | 2020-01-21 |
| 1396384194 | Progressive North Ridgeville LLC | Skilled Nursing Facility | 6200 Lear Nagle Rd, North Ridgeville, OH 44039-3224 | 2019-12-27 |
| 1154962835 | Sycamorespring Health Care and Rehabilitation LLC | Skilled Nursing Facility | 2175 Leiter Rd, Miamisburg, OH 45342-3659 | 2019-10-03 |
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1427604321 | Trilogy Healthcare of Pickerington, LLC | Skilled Nursing Facility | 603 Diley Road, Pickerington, OH 43147 | 2019-08-15 |
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAVILION CARE CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.