PEARL PAVILION LLC (NPI# 1861871246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861871246 |
| Entity Type | Organization |
| Organization Name | PEARL PAVILION LLC |
| Practice Address |
910 Kiwanis Drive Freeport IL 61032 |
| Mailing Address |
8153 Lawndale Ave Skokie IL 60076-3321 |
| Practice Telephone | 8152356196 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-05-18 |
| Authorized Official Name | SHIMON WEBSTER (MANAGER) |
| Authorized Official Telephone | 7739451000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
910 KIWANIS DRIVE |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| 1710158233 | Joseph Davis | Specialist/Technologist | 1045 W Stephenson Street, Freeport, IL 61032 | 2008-03-13 |
| Find all providers in zip 61032 | ||||
| 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 |
|---|---|---|---|---|
| 1619146263 | Residential Alternatives of Illinois, Inc. | Skilled Nursing Facility | 900 South Kiwanis Drive, Freeport, IL 61032 | 2008-02-28 |
| 1053320994 | Residential Alternatives of Illinois Inc | Skilled Nursing Facility | 2170 W Navajo Dr, Freeport, IL 61032-7811 | 2006-08-07 |
| 1265413900 | County of Stephenson | Skilled Nursing Facility | 2946 S Walnut Rd, Freeport, IL 61032-9528 | 2005-11-09 |
| 1023004157 | Presence Life Connections | Skilled Nursing Facility | 659 E Jefferson Street, Freeport, IL 61032-6027 | 2005-09-23 |
| 1811999246 | South Shore Rehabilitation, LLC | Skilled Nursing Facility | 275 W Merrick Rd, Freeport, NY 11520-3346 | 2005-08-15 |
| 1477554111 | Freeport Nursing Home, Inc | Skilled Nursing Facility | 3 East St, Freeport, ME 04032-1405 | 2005-08-03 |
| 1821098799 | Midamerica Care Foundation | Skilled Nursing Facility | 900 Kiwanis Dr, Freeport, IL 61032-4580 | 2005-07-21 |
| 1457358814 | Meadowbrook Care Center, Inc. | Skilled Nursing Facility | 320 W Merrick Rd, Freeport, NY 11520-3248 | 2005-06-30 |
| 1205960127 | Freeport Memorial Hospital | Skilled Nursing Facility | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
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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.