NPIMap

Organization Active NPI

Essex Pavilion, LLC

  • Skilled Nursing Facility
  • Hyannis, MA
National Provider Identifier
1447233945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0869 Issued in MA
Legal business name
ESSEX PAVILION, LLC
Doing business as
The Pavilion
Practice address
876 Falmouth Rd
Hyannis, MA 02601-2322
Phone
(508) 775-6663
Fax
(508) 778-9891
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary E Benoit
Title
Senior Administrator
Phone
(508) 775-6663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0869 MA Primary

Addresses

Primary practice location

876 Falmouth Rd
Hyannis, MA 02601-2322

Mailing address

876 Falmouth Rd
Hyannis, MA 02601-2322
Phone (508) 775-6663

Other identifiers 1

IdentifierTypeStateIssuer
0929204MedicaidMA

Other names 1

  • The Pavilion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000565 MA Part A Provider - Skilled Nursing Facility 1658364658 Practice locations: Hyannis, MA

Skilled nursing facility certification: CCN 225503

Legal name
ESSEX PAVILION, LLC
Doing business as
THE PAVILION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Jun 13, 2024
Beds
82
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Landmark Hlth Solns/Bentley Health Gr
Organization structure
LLCProprietary
Incorporated
Oct 7, 2002 in MA
Enrollment address
876 Falmouth Rd
Hyannis, MA 02601-2322
Nursing home name
PAVILION , THE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pavilion , theCCN 225503 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8272.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

876 Falmouth Rd
Hyannis, MA 02601
Phone (508) 540-3240

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Raso Individual 5% Or Greater Indirect Ownership InterestManager Jan 20, 2013 100%
Corporate OfficerManager Jan 20, 2013 100%
Wellington Healthcare LLC Organization, Haverhill, MA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 29, 2005 100%
Mary Benoit Individual Operational/Managerial ControlAdministrator Aug 13, 2014 100%
Bentley Health Group LLC Organization, Haverhill, MA LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2007 100%
Landmark Health Solutions, LLC Organization, Haverhill, MA LLC, For-profit Operational/Managerial Control Jul 1, 2006

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447233945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 FALMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012322",
            "telephone_number": "508-775-6663",
            "fax_number": "508-778-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 FALMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012322",
            "telephone_number": "508-775-6663",
            "fax_number": "508-778-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PAVILION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR",
        "authorized_official_telephone_number": "508-775-6663"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929204",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.