PAVILION-THS LLC NPI 1518243468

NPI Details

PAVILION-THS, LLC is a skilled nursing facility in Lebanon, TN. The provider is (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. PAVILION-THS, LLC NPI is 1518243468. The provider is registered as an organization entity type.
The provider Is Doing Business As Pavilion Nursing Home.

The provider's business location address is:

1406 MEDICAL CENTER DR
LEBANON, TN
ZIP 37087-500
Phone: (615) 444-4343
Fax: (615) 444-9049

The provider's authorized official is Gordon Bone .
The authorized official title is Vice-president and has the following contact phone number (615) 417-8131.

The CLIA number assigned to this NPI record is 44D2195506 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2011 and was last updated on 10/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: