PEARL PAVILION LLC
NPI 1861871246
Skilled Nursing Facility in Freeport, IL
About Pearl Pavilion Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEARL PAVILION LLC (NPI 1861871246) is a healthcare organization registered as a skilled nursing facility in Freeport, Illinois and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Shimon Webster, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 14D2097509
Pearl Pavilion · Freeport, ILNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Pearl Pavilion (CMS certification number 145234), from CMS Care Compare.
Pearl Pavilion
Nursing home · Freeport, ILCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
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 Pearl Pavilion LLC's NPI number?
The NPI number for Pearl Pavilion LLC is 1861871246. It was assigned to this organization in the NPPES registry on May 19, 2015.
Where is Pearl Pavilion LLC located?
Pearl Pavilion LLC is located at 910 Kiwanis Drive, Freeport, IL 61032. The listed phone number is (815) 235-6196.
What is Pearl Pavilion LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Pearl Pavilion LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2097509) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Pearl Pavilion LLC a Medicare-certified nursing home?
Yes. Pearl Pavilion is a Medicare-certified nursing home with 109 certified beds.
What quality rating does Pearl Pavilion LLC have?
CMS rates Pearl Pavilion 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
When was this NPI record last updated?
The NPPES record for Pearl Pavilion LLC was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.