THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION, LLC
NPI 1063097921
Skilled Nursing Facility in Jacksonville, FL

Active since March 12, 2021
1771 EDGEWOOD AVE W, JACKSONVILLE, FL 32208(516) 865-1500 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Pavilion At Jacksonville For Nursing And Rehabilitation, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION, LLC (NPI 1063097921), doing business as The Pavilion At Jacksonville, is a healthcare organization registered as a skilled nursing facility in Jacksonville, Florida and active in the NPI registry since March 2021. The organization lists Rafael A Moerman, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063097921
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION, LLC
Location Address1771 EDGEWOOD AVE WJacksonville, FL 32208-3278
Mailing Address1 Valley Greens DrValley Stream, NY 11581-3634 · (516) 865-1500
Organization SubpartNo
Authorized OfficialRafael A MoermanManaging Member · (516) 865-1500
Enumeration DateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
NPI 1063097921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
1771 EDGEWOOD AVE W, Jacksonville, FL 32208

Other Names 1

Doing Business AsThe Pavilion At Jacksonville

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1771 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1771 EDGEWOOD AVE W, SUITE 6B
JACKSONVILLE, FL 32208
Skilled Nursing Facility
1771 EDGEWOOD AVE W
JACKSONVILLE, FL 32208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC's NPI number?

The NPI number for The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC is 1063097921. It was assigned to this organization in the NPPES registry on March 12, 2021. The provider is doing business as The Pavilion at Jacksonville.

Where is The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC located?

The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC is located at 1771 Edgewood Ave W, Jacksonville, FL 32208. The listed phone number is (516) 865-1500.

What is The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Pavilion At Jacksonville For Nursing And Rehabilitation, LLC was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.