THE PAVILION FOUNDATION (NPI# 1659511228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659511228 |
| Entity Type | Organization |
| Organization Name | THE PAVILION FOUNDATION |
| Other Organization Name | THE PAVILION RESIDENTIAL TREATMENT CENTER |
| Practice Address |
810 W Church St Champaign IL 61820-3321 |
| Practice Telephone | 2173731700 |
| Mailing Telephone | 2173731700 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2012-08-03 |
| Authorized Official Name | STEVE FILTON (CFO/ SRVP) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 0004689 | IL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Pavilion Residential Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407096043 | The Pavilion Foundation | Psychiatric Residential Treatment Facility | 809 W Church St, Champaign, IL 61820-3320 | 2009-02-23 |
| Street Address |
810 W CHURCH ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407096043 | The Pavilion Foundation | Psychiatric Residential Treatment Facility | 809 W Church St, Champaign, IL 61820-3320 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1831759653 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300b, Des Plaines, IL 60018-3305 | 2019-06-14 |
| 1437649266 | Eating Recovery Center | Psychiatric Residential Treatment Facility | 1 E Erie St Ste 400, Chicago, IL 60611-2785 | 2018-05-17 |
| 1588039556 | Bianca Davis | Psychiatric Residential Treatment Facility | 18610 Morris Ave, Homewood, IL 60430-3628 | 2015-12-02 |
| 1992110217 | Insight Behavioral Health Centers | Psychiatric Residential Treatment Facility | 200 E Ohio St, B, Chicago, IL 60611-7269 | 2014-06-25 |
| 1639466915 | Bhc Streamwood Hospital Inc | Psychiatric Residential Treatment Facility | 1360 E Irving Park Rd, Streamwood, IL 60107-3202 | 2011-07-07 |
| 1164751913 | Gpr Solutions Sc | Psychiatric Residential Treatment Facility | 554 Bovidae Cir, Naperville, IL 60565-6184 | 2009-12-08 |
| 1932330446 | Jubilee Health Inc | Psychiatric Residential Treatment Facility | 1016 Victoria Ln, Glendale Heights, IL 60139-4508 | 2009-07-31 |
| 1144427378 | Colin M Hayes | Psychiatric Residential Treatment Facility | 555 Fairview Dr, Office, Rochelle, IL 61068-2310 | 2007-06-29 |
| 1306873419 | Maryville Academy | Psychiatric Residential Treatment Facility | 555 Wilson Lane, Maryville Scott Nolan Center, Des Plaines, IL 60016-4729 | 2006-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.