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Pavilion-Ths, LLC

NPI 1518243468ActiveOrganization· Skilled Nursing Facility· Lebanon, TN

Skilled Nursing Facility in Lebanon, Tennessee, registered in NPPES in October 2011. The authorized official on file is Gordon Bone, Vice-President. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1518243468
StatusActive
Entity typeOrganization
NPI issuedOct 24, 2011
Last updated in NPPESOct 24, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X0000000300TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (TN)

Medicare sources and data years

Other Skilled Nursing Facility providers in Lebanon

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