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PAVILION HEALTHCARE SERVICES INC
NPI 1245580182
Home Health in Carson, CA

Active since September 19, 2012
17420 AVALON BLVD, STE 206, CARSON, CA 90746(310) 753-1201 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pavilion Healthcare Services Inc NPPES

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

PAVILION HEALTHCARE SERVICES INC (NPI 1245580182) is a healthcare organization registered as a home health in Carson, California and active in the NPI registry since September 2012. The organization lists Gabriel C Ejizu, President, as its authorized official.

NPPES Registry Identity

NPI1245580182
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePAVILION HEALTHCARE SERVICES INC
Location Address17420 AVALON BLVD, STE 206Carson, CA 90746-1564
Mailing Address17420 Avalon Blvd, Ste 206Carson, CA 90746
Phone(310) 753-1201
Organization SubpartNo
Authorized OfficialGabriel C EjizuPresident · (310) 753-1201
Enumeration DateSeptember 19, 2012
✔ NPI 1245580182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
17420 AVALON BLVD, Carson, CA 90746
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Other Providers at the Same Location NPPES 4

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

PACIFIC HOME HEALTH SERVICES INC.
Home Health
17420 AVALON BLVD, SUITE 200
CARSON, CA 90746
Los Angeles County (310) 538-3133
SUPERIOR MEDICAL ENTERPRISE INC
Durable Medical Equipment & Medical Supplies
17420 AVALON BLVD, STE 204
CARSON, CA 90746
Los Angeles County (310) 329-2133
GREG WASHINGTON
Counselor (Addiction (Substance Use Disorder))
17420 AVALON BLVD, 200
CARSON, CA 90746
Los Angeles County (323) 759-3464
TRIPPLE O EVERGREEN
Durable Medical Equipment & Medical Supplies
17420 AVALON BLVD, 207
CARSON, CA 90746
Los Angeles County (310) 965-9039

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 Pavilion Healthcare Services Inc's NPI number?

The NPI number for Pavilion Healthcare Services Inc is 1245580182. It was assigned to this organization in the NPPES registry on September 19, 2012.

Where is Pavilion Healthcare Services Inc located?

Pavilion Healthcare Services Inc is located at 17420 Avalon Blvd Ste 206, Carson, CA 90746. The listed phone number is (310) 753-1201.

What is Pavilion Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Pavilion Healthcare Services Inc was last updated on September 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.