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THE PAVILION AT CRESCENT LAKE FOR NURSING AND REHABILITATION, LLC
NPI 1386229250
Skilled Nursing Facility in Crescent City, FL

Active since March 12, 2021
4/5
Overall Rating
100 N LAKE ST, CRESCENT CITY, FL 32112(516) 865-1500 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Pavilion At Crescent Lake For Nursing And Rehabilitation, Llc NPPES

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

THE PAVILION AT CRESCENT LAKE FOR NURSING AND REHABILITATION, LLC (NPI 1386229250), doing business as The Pavilion At Crescent Lake, is a healthcare organization registered as a skilled nursing facility in Crescent City, 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

NPI1386229250
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE PAVILION AT CRESCENT LAKE FOR NURSING AND REHABILITATION, LLC
Location Address100 N LAKE STCrescent City, FL 32112-2620
Mailing Address1 Valley Greens DrValley Stream, NY 11581-3634 · (516) 865-1500
Phone(516) 865-1500
Organization SubpartNo
Authorized OfficialRafael A MoermanManaging Member · (516) 865-1500
Enumeration DateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1386229250 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.
100 N LAKE ST, Crescent City, FL 32112
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Pavilion At Crescent Lake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for The Pavilion At Crescent Lake (CMS certification number 105808), from CMS Care Compare.

The Pavilion At Crescent Lake

Nursing home · Crescent City, FL
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number105808
Certified Beds73 beds74 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1993
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
20
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.14 · LPN 0.84 · RN 0.45
3.43 hrs per resident per day
Weekend Nurse Staffing
3.19 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
24.1%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Infection-Control Citations
0
Fines
1 totaling $13,149.50
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

BILLIE JO REVELS
Speech-Language Pathologist
100 N LAKE ST
CRESCENT CITY, FL 32112
Putnam County (386) 937-0173
KYLEE STOLTZFUS
Physical Therapy Assistant
100 N LAKE ST
CRESCENT CITY, FL 32112
Putnam County (386) 698-2222
LAKEWOOD OPERATIONS LLC
Skilled Nursing Facility
100 N LAKE ST
CRESCENT CITY, FL 32112
Putnam County (386) 328-1472
LAKEWOOD NURSING CENTER INC
Skilled Nursing Facility
100 N LAKE ST
CRESCENT CITY, FL 32112
Putnam County (386) 698-2222

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 Crescent Lake For Nursing And Rehabilitation, LLC's NPI number?

The NPI number for The Pavilion At Crescent Lake For Nursing And Rehabilitation, LLC is 1386229250. It was assigned to this organization in the NPPES registry on March 12, 2021. The provider is doing business as The Pavilion at Crescent Lake.

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

The Pavilion At Crescent Lake For Nursing And Rehabilitation, LLC is located at 100 N Lake St, Crescent City, FL 32112. The listed phone number is (516) 865-1500.

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

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

Is The Pavilion At Crescent Lake For Nursing And Rehabilitation, LLC a Medicare-certified nursing home?

Yes. The Pavilion At Crescent Lake is a Medicare-certified nursing home with 73 certified beds.

What quality rating does The Pavilion At Crescent Lake For Nursing And Rehabilitation, LLC have?

CMS rates The Pavilion At Crescent Lake 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

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

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list The Pavilion At Crescent Lake 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 Crescent Lake 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.