Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Pavilion at Crescent Lake for Nursing and Rehabilitation, LLC

Organization Skilled Nursing Facility · NPI 1386229250

The Pavilion at Crescent Lake for Nursing and Rehabilitation, LLC is a Skilled Nursing Facility in Crescent City, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 N Lake St
Crescent City, FL 32112-2620
Phone: (516) 865-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1386229250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Moerman — Managing Member · (516) 865-1500
Other names The Pavilion At Crescent Lake
NPI enumeratedMarch 12, 2021
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address1 Valley Greens Dr, Valley Stream, NY 11581-3634

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