The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC
NPI 1063097921 · Skilled Nursing Facility · Jacksonville, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC is a Skilled Nursing Facility organization in Jacksonville, FL (NPI 1063097921).
Provider details
- NPI number
- 1063097921
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rafael Moerman, Managing Member(516) 865-1500
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Pavilion at Jacksonville
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Frequently asked questions
- What is The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC's NPI number?
- The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC's National Provider Identifier (NPI) is 1063097921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC?
- The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC located?
- The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC's practice location on file with NPPES is 1771 Edgewood Ave W, Jacksonville, FL 32208-3278.
- What is The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC is (516) 865-1500.
- Does The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC accept Medicare?
- The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC?
- The authorized official listed on The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC's NPPES record is Rafael Moerman, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC's NPI active?
- Yes — The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC's NPI (1063097921) is active in the NPPES registry as of the last update on 2021-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.