PAVILION AT CANAL FULTON, LLC
NPI 1396565214
Skilled Nursing Facility in Canal Fulton, OH
About Pavilion At Canal Fulton, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAVILION AT CANAL FULTON, LLC (NPI 1396565214), doing business as The Pavilion At Canal Fulton For Nursing And Rehabilitation, Llc, is a healthcare organization registered as a skilled nursing facility in Canal Fulton, Ohio and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kymberly Lavin, Executive Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D0724824
Pavilion At Canal Fulton · Canal Fulton, OHOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANAL FULTON, OH 44614
CANAL FULTON, OH 44614
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 At Canal Fulton, LLC's NPI number?
The NPI number for Pavilion At Canal Fulton, LLC is 1396565214. It was assigned to this organization in the NPPES registry on October 15, 2024. The provider is doing business as The Pavilion at Canal Fulton for Nursing and Rehabilitation, LLC.
Where is Pavilion At Canal Fulton, LLC located?
Pavilion At Canal Fulton, LLC is located at 7055 High Mill Ave NW, Canal Fulton, OH 44614. The listed phone number is (330) 854-4545.
What is Pavilion At Canal Fulton, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Pavilion At Canal Fulton, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0724824) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pavilion At Canal Fulton, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Pavilion At Canal Fulton, 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 Pavilion At Canal Fulton, LLC was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.