THE PAVILION AT VESTAL, LLC
NPI 1790163376
Assisted Living Facility in Vestal, NY

Q: What is The Pavilion At Vestal, LLC's NPI number?

The NPI number for The Pavilion At Vestal, LLC is 1790163376. It was assigned to this organization in the NPPES registry on May 14, 2015.

Q: What is The Pavilion At Vestal, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 14, 2015

105 WEST SHEEDY ROAD, VESTAL, NY 13850(845) 371-8100(845) 371-0010 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About The Pavilion At Vestal, Llc NPPES

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

THE PAVILION AT VESTAL, LLC (NPI 1790163376) is a healthcare organization registered as an assisted living facility in Vestal, New York and active in the NPI registry since May 2015. The organization lists Jack Augenstein, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790163376

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE PAVILION AT VESTAL, LLC

Location Address105 WEST SHEEDY ROADVestal, NY 13850-1753

Mailing Address1 Hillcrest Ctr, Suite #325Spring Valley, NY 10977-3740 · (845) 371-8100 · Fax (845) 371-0010

Phone(845) 371-8100

Fax(845) 371-0010

Organization SubpartNo

Authorized OfficialJack AugensteinCfo · (845) 371-8100

Enumeration DateMay 14, 2015

✔ NPI 1790163376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in NY · TO BE DETERMINED

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

105 WEST SHEEDY ROAD, Vestal, NY 13850

Open in Google Maps ↗

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 Vestal, LLC's NPI number?

The NPI number for The Pavilion At Vestal, LLC is 1790163376. It was assigned to this organization in the NPPES registry on May 14, 2015.

Where is The Pavilion At Vestal, LLC located?

The Pavilion At Vestal, LLC is located at 105 West Sheedy Road, Vestal, NY 13850. The listed phone number is (845) 371-8100.

What is The Pavilion At Vestal, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for The Pavilion At Vestal, LLC was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.