OTTAWA PAVILION, LTD.
NPI 1205813490
Skilled Nursing Facility in Ottawa, IL

Active since December 28, 2005
704 E GLOVER ST, OTTAWA, IL 61350(815) 431-4900(815) 434-2376 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ottawa Pavilion, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTAWA PAVILION, LTD. (NPI 1205813490) is a healthcare organization registered as a skilled nursing facility in Ottawa, Illinois and active in the NPI registry since December 2005. The organization lists Marshall A Mauer, Secretary-treasurer, as its authorized official.

NPPES Registry Identity

NPI1205813490
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOTTAWA PAVILION, LTD.
Location Address704 E GLOVER STOttawa, IL 61350-4131
Mailing Address704 E Glover StOttawa, IL 61350-4131 · (815) 431-4900 · Fax (815) 434-2376
Fax(815) 434-2376
Organization SubpartNo
Authorized OfficialMarshall A MauerSecretary-treasurer · (847) 679-8219
Enumeration DateDecember 28, 2005
Last NPPES UpdateJanuary 14, 2015
NPI 1205813490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0039230
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
704 E GLOVER ST, Ottawa, IL 61350

Other Identifiers 2

Medicare OSCAR/certification145426
Medicaid=========001IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
704 E GLOVER ST
OTTAWA, IL 61350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ottawa Pavilion, Ltd.'s NPI number?

The NPI number for Ottawa Pavilion, Ltd. is 1205813490. It was assigned to this organization in the NPPES registry on December 28, 2005.

Where is Ottawa Pavilion, Ltd. located?

Ottawa Pavilion, Ltd. is located at 704 E Glover St, Ottawa, IL 61350. The listed phone number is (815) 431-4900.

What is Ottawa Pavilion, Ltd.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Ottawa Pavilion, Ltd. was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.