Organization · Type 2 NPI

Pavilion at Piketon for Nursing and Rehabilitation LLC

Skilled Nursing Facility · Piketon, OH

NPI number 1598260952 Active

Practice location

7143 US Highway 23
Piketon, OH 45661-9527

Call (740) 289-2394 Map

Fax (740) 289-2231

Mailing address

1 Valley Greens Dr
Valley Stream, NY 11581-3634

Specialties and licenses

Taxonomy	Code	License
Nursing Care Agency	251J00000X	1621N (OH)
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (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 r…

2 other providers at this address

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NPI record

NPI: 1598260952
Entity type: Organization (Type 2)
Issued: Mar 28, 2018
Last updated: Jul 10, 2019
Status: Active

Other names

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The Pavilion at Piketon · doing business as
The Pavilion at Piketon · doing business as

Authorized official

Rafael A Moerman
Managing Member
(848) 299-3662

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1598260952

Pavilion at Piketon for Nursing and Rehabilitation LLC's National Provider Identifier is 1598260952, issued on Mar 28, 2018. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Piketon, OH. The record was last updated on Jul 10, 2019.