PAVILION AT EDGEFIELD, LLC
NPI 1679393599
Assisted Living Facility in Canton, OH
About Pavilion At Edgefield, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAVILION AT EDGEFIELD, LLC (NPI 1679393599), doing business as The Pavilion At Edgefield Assisted Living, Llc, is a healthcare organization registered as an assisted living facility in Canton, Ohio and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Kymberly Lavin, Executive Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 36D0860586
Pavilion At Edgefield For Nursing And, The Rehabiliation · Canton, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edgefield, LLC's NPI number?
The NPI number for Pavilion At Edgefield, LLC is 1679393599. It was assigned to this organization in the NPPES registry on October 15, 2024. The provider is doing business as The Pavilion at Edgefield Assisted living, LLC.
Where is Pavilion At Edgefield, LLC located?
Pavilion At Edgefield, LLC is located at 820 34th St NW, Canton, OH 44709. The listed phone number is (330) 492-7131.
What is Pavilion At Edgefield, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Pavilion At Edgefield, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0860586) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pavilion At Edgefield, 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 17 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.
# Pavilion At Edgefield, Llc · NPI 1679393599
Assisted Living Facility organization in Canton, Ohio. Organization record, active in the CMS NPPES registry since October 15, 2024.
## Identity
- **NPI:** 1679393599 (Entity type: Organization)
- **Enumerated:** October 15, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** The Pavilion at Edgefield Assisted living, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kymberly Lavin, EXECUTIVE ASSISTANT
## Practice location
- **Address:** 820 34TH ST NW, Canton, OH 44709-2966
- **Phone:** (330) 492-7131
## Record status
- **NPPES last updated:** April 2, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679393599) · Data from the CMS NPPES public registry.