PAVILION OF LOGAN SQUARE LLC
NPI 1588302137
Skilled Nursing Facility in Chicago, IL

Active since May 24, 2022
1/5
Overall Rating
2242 N KEDZIE BLVD, CHICAGO, IL 60647(773) 486-7700(773) 486-7937 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 4, 2025, May 24, 2022 (2 updates tracked since 2022).

About Pavilion Of Logan Square Llc NPPES

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

PAVILION OF LOGAN SQUARE LLC (NPI 1588302137), doing business as Pavilion Of Logan Square, is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since May 2022. The organization lists Marcella Graf, Cfo, as its authorized official.

NPPES Registry Identity

NPI1588302137
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePAVILION OF LOGAN SQUARE LLC
Location Address2242 N KEDZIE BLVDChicago, IL 60647-2504
Mailing Address3755 Chase AveSkokie, IL 60076-4008 · (224) 470-2044 · Fax (224) 470-2952
Fax(773) 486-7937
Organization SubpartNo
Authorized OfficialMarcella GrafCfo · (224) 470-2044
Enumeration DateMay 24, 2022
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1588302137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
2242 N KEDZIE BLVD, Chicago, IL 60647

Other Names 1

Doing Business AsPavilion Of Logan Square

Other Identifiers 1

Medicaid6007074IL

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pavilion Of Logan Square, The (CMS certification number 145792), from CMS Care Compare.

Pavilion Of Logan Square, The

Nursing home · Chicago, IL
1/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number145792
Certified Beds222 beds203 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1994
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
182.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2 · LPN 0.59 · RN 0.42
3.01 hrs per resident per day
Weekend Nurse Staffing
2.6 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50.4%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
5
Substantiated Complaints
33
Infection-Control Citations
1
Fines
2 totaling $25,767.50
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

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

Speech-Language Pathologist
2242 N KEDZIE BLVD
CHICAGO, IL 60647
Skilled Nursing Facility
2242 N KEDZIE BLVD
CHICAGO, IL 60647

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 Logan Square LLC's NPI number?

The NPI number for Pavilion Of Logan Square LLC is 1588302137. It was assigned to this organization in the NPPES registry on May 24, 2022. The provider is doing business as Pavilion of Logan Square.

Where is Pavilion Of Logan Square LLC located?

Pavilion Of Logan Square LLC is located at 2242 N Kedzie Blvd, Chicago, IL 60647. The listed phone number is (773) 486-7700.

What is Pavilion Of Logan Square LLC's specialty?

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

Is Pavilion Of Logan Square LLC a Medicare-certified nursing home?

Yes. Pavilion Of Logan Square, The is a Medicare-certified nursing home with 222 certified beds.

What quality rating does Pavilion Of Logan Square LLC have?

CMS rates Pavilion Of Logan Square, 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 Of Logan Square LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company and Oscar Insurance Corporation of Ohio list Pavilion Of Logan Square 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 Logan Square 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.