OrganizationActive
The Pavilion at Crescent Lake for Nursing and Rehabilitation, LLC
NPI 1386229250 · Skilled Nursing Facility · Crescent City, FL
Provider details
- NPI number
- 1386229250
- 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
Established profile(62/100 index)
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
100 N Lake St
Crescent City, FL 32112-2620
Phone: (516) 865-1500
Street-level locationGet directions
Mailing address
1 Valley Greens Dr
Valley Stream, NY 11581-3634
Other names (DBA / former)
- Doing business as
- The Pavilion at Crescent Lake
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 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.