PAVILION OF OTTAWA LLC
NPI 1306584958
Skilled Nursing Facility in Ottawa, IL
About Pavilion Of Ottawa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAVILION OF OTTAWA LLC (NPI 1306584958), doing business as Pavilion Of Ottawa, is a healthcare organization registered as a skilled nursing facility in Ottawa, Illinois and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marcella Graf, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D0673461
Pavilion Of Ottawa · Ottawa, ILNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Pavilion Of Ottawa (CMS certification number 145426), from CMS Care Compare.
Pavilion Of Ottawa
Nursing home · Ottawa, ILCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pavilion Of Ottawa LLC's NPI number?
The NPI number for Pavilion Of Ottawa LLC is 1306584958. It was assigned to this organization in the NPPES registry on May 24, 2022. The provider is doing business as Pavilion of Ottawa.
Where is Pavilion Of Ottawa LLC located?
Pavilion Of Ottawa LLC is located at 704 E Glover St, Ottawa, IL 61350. The listed phone number is (815) 434-7144.
What is Pavilion Of Ottawa LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Pavilion Of Ottawa LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D0673461) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Pavilion Of Ottawa LLC a Medicare-certified nursing home?
Yes. Pavilion Of Ottawa is a Medicare-certified nursing home with 135 certified beds.
What quality rating does Pavilion Of Ottawa LLC have?
CMS rates Pavilion Of Ottawa 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
What insurance does Pavilion Of Ottawa LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Quartz list Pavilion Of Ottawa LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pavilion Of Ottawa LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.