THE PAVILION AT ST. LUKE VILLAGE
NPI 1437163292
Skilled Nursing Facility in Hazleton, PA

Q: What is Pavilion At St. Luke Village Facility Operations, LLC's specialty?

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

Q: What quality rating does Pavilion At St. Luke Village Facility Operations, LLC have?

CMS rates Pavilion At St Luke Village, The 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since July 28, 2006CLIA 39D0917467 · Waiver

3/5

Overall Rating

1000 STACIE DR, HAZLETON, PA 18201(570) 453-5100(570) 453-5106 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 13, 2024, May 18, 2020, May 10, 2019 and 1 more (4 updates tracked since 2017).

On this page

About The Pavilion At St. Luke Village NPPES

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

THE PAVILION AT ST. LUKE VILLAGE (NPI 1437163292) is a healthcare organization registered as a skilled nursing facility in Hazleton, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Tim Lehner, Manager, as its authorized official.

NPPES Registry Identity

NPI1437163292

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NamePAVILION AT ST. LUKE VILLAGE FACILITY OPERATIONS, LLC

Location Address1000 STACIE DRHazleton, PA 18201-5690

Mailing Address1000 Stacie DrHazleton, PA 18201-5690 · (570) 453-5100 · Fax (570) 453-5106

Phone(570) 453-5100

Fax(570) 453-5106

Organization SubpartNo

Authorized OfficialTim LehnerManager · (770) 698-9040

Enumeration DateJuly 28, 2006

Last NPPES UpdateSeptember 13, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1437163292 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.

1000 STACIE DR, Hazleton, PA 18201

Open in Google Maps ↗

Other Names 1

Doing Business AsThe Pavilion At St. Luke Village

Other Identifiers 1

Medicaid1018132330001PA

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 39D0917467

Pavilion At St Luke Village, The · Hazleton, PA

Active · expires Jul 18, 2028

CLIA Number39D0917467

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJuly 19, 2026

Certificate Expiration DateJuly 18, 2028

Laboratory DirectorDr. Mark J. Lobitz

Laboratory Phone(570) 453-5100

Laboratory LocationPavilion At St Luke Village, The1000 Stacie Drive, Hazleton, PA 18201

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pavilion At St Luke Village, The (CMS certification number 395265), from CMS Care Compare.

Pavilion At St Luke Village, The

Nursing home · Hazleton, PA

3/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number395265

Certified Beds120 beds98 residents per day on average

Medicare & Medicaid Participant SinceMay 29, 1969

Resident & Family CouncilResident council

Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

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.

4/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

100.67

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 1.84 · LPN 0.72 · RN 0.51

3.08 hrs per resident per day

Weekend Nurse Staffing

2.73 hrs per resident per day

Physical Therapist Staffing

0.07 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

40.7%

Registered Nurse Turnover

25%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

3 totaling $26,841.75

Medicare Payment Denials

Total Penalties

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 18

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

JEILYS ARELIS NIEVES COTA/L

Occupational Therapy Assistant