Active NPI
Pavilion Home Care LLC
- Home Health Agency
- Bethlehem, GA
National Provider Identifier
1316858889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PAVILION HOME CARE LLC
- Practice address
- 590 Silverleaf TRL
Bethlehem, GA 30620-1875 - Phone
- (470) 445-6838
- NPI assigned
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Solomon Olugbade Moyosola, ADMINISTRATOR
- Title
- Administrator
- Phone
- (470) 865-1072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
590 Silverleaf TRL
Bethlehem, GA 30620-1875
Mailing address
590 Silverleaf TRL
Bethlehem, GA 30620-1875
Phone (470) 445-6838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1316858889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 SILVERLEAF TRL",
"city": "BETHLEHEM",
"state": "GA",
"postal_code": "306201875",
"telephone_number": "470-445-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 SILVERLEAF TRL",
"city": "BETHLEHEM",
"state": "GA",
"postal_code": "306201875",
"telephone_number": "470-445-6838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAVILION HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "MOYOSOLA",
"authorized_official_first_name": "SOLOMON",
"authorized_official_middle_name": "OLUGBADE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "470-865-1072",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.