NPIMap

Organization Active NPI

Pavilion Health Company, LLC

  • Home Health Agency
  • Bridgeton, MO
National Provider Identifier
1306796073
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PAVILION HEALTH COMPANY, LLC
Practice address
11520 Saint Charles Rock Rd Ste 105a
Bridgeton, MO 63044-2732
Phone
(314) 402-7432
NPI assigned
Feb 2, 2026
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Nagaraj V Kunda
Title
Owner/Director
Phone
(314) 312-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11520 Saint Charles Rock Rd Ste 105a
Bridgeton, MO 63044-2732

Mailing address

11520 Saint Charles Rock Rd Ste 105a
Bridgeton, MO 63044-2732
Phone (314) 402-7432

National Provider Directory

National Provider Directory
Tax ID family
Pavilion Health Company LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11520 Saint Charles Rock Rd
Ste 105A
Bridgeton, MO 63044
Phone (314) 402-7432

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1306796073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SAINT CHARLES ROCK RD STE 105A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442732",
            "telephone_number": "314-402-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SAINT CHARLES ROCK RD STE 105A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442732",
            "telephone_number": "314-402-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION HEALTH COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-01",
        "status": "A",
        "authorized_official_last_name": "KUNDA",
        "authorized_official_first_name": "NAGARAJ",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "314-312-5588"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.