PAVILION ON MAIN STREET LLC
NPI 1366180903
Skilled Nursing Facility in Sandwich, IL
About Pavilion On Main Street Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAVILION ON MAIN STREET LLC (NPI 1366180903), doing business as Pavilion On Main Street, is a healthcare organization registered as a skilled nursing facility in Sandwich, 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 14D0725286
Pavilion On Main · Sandwich, ILNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Pavilion On Main Street, The (CMS certification number 145712), from CMS Care Compare.
Pavilion On Main Street, The
Nursing home · Sandwich, ILCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES 3
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 On Main Street LLC's NPI number?
The NPI number for Pavilion On Main Street LLC is 1366180903. It was assigned to this organization in the NPPES registry on May 24, 2022. The provider is doing business as Pavilion on Main Street.
Where is Pavilion On Main Street LLC located?
Pavilion On Main Street LLC is located at 515 N Main St, Sandwich, IL 60548. The listed phone number is (815) 786-8426.
What is Pavilion On Main Street LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Pavilion On Main Street LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0725286) 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 On Main Street LLC a Medicare-certified nursing home?
Yes. Pavilion On Main Street, The is a Medicare-certified nursing home with 113 certified beds.
What quality rating does Pavilion On Main Street LLC have?
CMS rates Pavilion On Main Street, The 1 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 On Main Street LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Pavilion On Main Street 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 On Main Street 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.