PO
PAVILION OF SOUTH SHORE LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
CHICAGO, IL
Licensed since
2022
Rate
—
Federal compliance record
Total fines$105,248
Payment denials / penalties3
Abuse flagNone on record
Federal identifiers
NPI registry number1922746577
CMS Certification Number (CCN)145939
Agency details
Avg residents / day112.5
OwnershipFor profit - Corporation
Chain affiliationPAVILION HEALTHCARE
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMARCELLA GRAF
TitleCFO
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