Pavilion Medical Home Care & Staffing LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PAVILION MEDICAL HOME CARE & STAFFING LLC

Practice address

451 Andover St
Suite #211a
North Andover, MA 01845-5044

Phone

(240) 346-7488

NPI assigned

Mar 18, 2016

Last updated

Mar 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gibson ErhunmwunseNPI 1710080205

Title

Ceo

Phone

(240) 346-7488

Specialties & licenses 1

Addresses

Listed as

Pavilion Medical Home Care & Staffing, LLCCCN 227695

Ownership

Proprietary

Certified

Apr 27, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gibson Iyeke Erhunmwunse, NP

  • Nurse Practitioner
  • Arlington, VA
  • NPI 1710080205
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1184085045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE #211A",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "240-346-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE #211A",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "240-346-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION MEDICAL HOME CARE & STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "ERHUNMWUNSE",
        "authorized_official_first_name": "GIBSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-346-7488"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick V Marasco Jr, MD, PC
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• William Joseph Patterson, D.M.D.
• Patti a Richard Dba Family Eye Care
• Lucy N Paynter, MS
• Paynters Counseling Center LLC
• Pediatrics at Chestnut Greens
• Kenneth R Peelle, MD
• Lauren Christine Pelczar

• Home Health Agency in North Andover, MA
• Providers in North Andover, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.