FOX RIVER PAVILION LIMITED PARTNERSHIP (NPI# 1821212739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821212739 |
| Entity Type | Organization |
| Organization Name | FOX RIVER PAVILION LIMITED PARTNERSHIP |
| Practice Address |
400 E New York St Aurora IL 60505-3425 |
| Practice Telephone | 6308978714 |
| Practice Fax Number | 6308972312 |
| Mailing Telephone | 6308978714 |
| Mailing Fax Number | 6308972312 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. SCOTT T BRAUN (ADMINISTRATOR) |
| Authorized Official Telephone | 6308978714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0038877 | IL | Nursing & Custodial Care Facilities |
| Street Address |
400 E NEW YORK ST |
| City | AURORA |
| State | IL |
| Zip Code | 60505-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1063935369 | Quality Care Solutions, L.L.C. | Skilled Nursing Facility | 1313 1st St, Aurora, NE 68818 | 2017-07-19 |
| 1891247714 | Aurora /transitional /care, LLC | Skilled Nursing Facility | 13525 E 23rd Ave, Aurora, CO 80045 | 2016-10-26 |
| 1205234622 | Progressive Aurora LLC | Skilled Nursing Facility | 425 S Chillicothe Rd, Aurora, OH 44202-6548 | 2014-12-17 |
| 1376706010 | Jennings Terrace | Skilled Nursing Facility | 275 S. Lasalle Street, Aurora, IL 60505 | 2008-07-02 |
| 1528288966 | Ahc of Aurora, LLC | Skilled Nursing Facility | 1800 S. Potomac, Aurora, CO 80012-5430 | 2007-04-26 |
| 1508931536 | State of Colorado | Skilled Nursing Facility | 1919 Quentin Street, Aurora, CO 80045 | 2006-11-22 |
| 1447350491 | Aurora Manor Limited Partnership | Skilled Nursing Facility | 101 S Bissell Rd, Aurora, OH 44202-9170 | 2006-09-22 |
| 1083710883 | Elmwood Terrace Healthcare Inc | Skilled Nursing Facility | 1017 W Galena Blvd, Aurora, IL 60506-3753 | 2006-09-16 |
| 1457362097 | Aurora Manor Inc | Skilled Nursing Facility | 1601 N Farnsworth Ave, Aurora, IL 60505 | 2006-08-10 |
| Find all providers in AURORA | ||||
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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.