Pavilion at Kenton for Nursing and Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC

Practice address

401 E 20TH St
Covington, KY 41014-1583

Phone

(859) 283-6600

NPI assigned

Jul 20, 2017

Last updated

Mar 6, 2018By 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

Rafael A Moerman

Title

Authorized Official

Phone

(848) 299-3662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942723085. Details of each certification follow.

• CCN 185038 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185038

Legal name

PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC

Doing business as

THE PAVILION AT KENTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1967

Last certification

Feb 28, 2025

Beds

82

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

May 9, 2017 in DE

Enrollment address

401 E 20TH St
Covington, KY 41014-1583

Nursing home name

THE PAVILION AT KENTON

Affiliated entity

THE PAVILION GROUP

Listed as

The Pavilion at KentonCCN 185038 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8277.8 residents per day on average

Chain

The Pavilion Group6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Laura Faughn, M.D.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1861519241

  Adp of the SNF

  CMS ownership
• Chaim A Klein, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1114001518

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Practitioners 3

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.

• Laura Faughn, M.D.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1861519241
  NPD (past)
• Edward Isaacs, DO

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1497700124
  NPD (past)
• Nabila Babar, MD

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1093817272
  NPD (past)

Affiliated clinicians 1

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

• Laura Faughn, M.D.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1861519241

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1942723085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BEACH 9TH ST APT 9F",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 20TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410141583",
            "telephone_number": "859-283-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "MOERMAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "848-299-3662"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley S. Patterson, M.D.
• Paul J Ruwe Inc (Ruwe Family Pharmacy Latonia LTC)
• Paul J Ruwe Inc (Ruwe Family Pharmacy Covington LTC)
• Paul J Ruwe Inc (Ruwe Family Pharmacy Covington)
• Paul J Ruwe Inc (Ruwe Family Pharmacy Latonia)
• Abigail Peed, RRT
• La Saundra Pendleton, M.S., CCC-SLP
• Shannon Pernell, R.N.
• Jon Clayton Perry
• Britney Pfister, B.A.

• Skilled Nursing Facility in Covington, KY
• Providers in Covington, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.