PO
PAVILION ON MAIN STREET LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SANDWICH, IL
Licensed since
2022
Rate
—
Federal compliance record
Total fines$122,009
Payment denials / penalties4
Abuse flagNone on record
Federal identifiers
NPI registry number1366180903
CMS Certification Number (CCN)145712
Agency details
Avg residents / day89.4
OwnershipFor profit - Individual
Chain affiliationPAVILION HEALTHCARE
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMARCELLA GRAF
TitleCFO
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