PAVILION AT STOW, LLC
NPI 1508686429
Skilled Nursing Facility in Stow, OH

Active since October 15, 2024CLIA 36D0725970 · Waiver
3700 ENGLEWOOD DR, STOW, OH 44224(330) 688-1828 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavilion At Stow, Llc NPPES

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

PAVILION AT STOW, LLC (NPI 1508686429), doing business as The Pavilion At Stow For Nursing And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Stow, 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

NPI1508686429
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePAVILION AT STOW, LLC
Location Address3700 ENGLEWOOD DRStow, OH 44224-3204
Mailing Address1 Valley Greens DrValley Stream, NY 11581-3634 · (516) 865-1500
Organization SubpartNo
Authorized OfficialKymberly LavinExecutive Assistant · (516) 865-1500
Enumeration DateOctober 15, 2024
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
NPI 1508686429 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.
3700 ENGLEWOOD DR, Stow, OH 44224

Other Names 1

Doing Business AsThe Pavilion At Stow For Nursing And Rehabilitation

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 36D0725970

Pavilion At Stow, The · Stow, OH
Active · expires Aug 31, 2026
CLIA Number36D0725970
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen C. Kellar
Laboratory Phone(330) 688-1828
Laboratory LocationPavilion At Stow, The3700 Englewood Dr, Stow, OH 44224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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
3700 ENGLEWOOD DR
STOW, OH 44224
Nurse Practitioner
3700 ENGLEWOOD DR
STOW, OH 44224
Assisted Living Facility
3700 ENGLEWOOD DR
STOW, OH 44224

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 Stow, LLC's NPI number?

The NPI number for Pavilion At Stow, LLC is 1508686429. It was assigned to this organization in the NPPES registry on October 15, 2024. The provider is doing business as The Pavilion at Stow for Nursing and Rehabilitation.

Where is Pavilion At Stow, LLC located?

Pavilion At Stow, LLC is located at 3700 Englewood Dr, Stow, OH 44224. The listed phone number is (330) 688-1828.

What is Pavilion At Stow, LLC's specialty?

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

Does Pavilion At Stow, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0725970) 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 Stow, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Pavilion At Stow, 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 Stow, LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.