OrganizationActive
Palladian Aviston Snf LLC
NPI 1104814490 · Skilled Nursing Facility · Aviston, IL
Provider details
- NPI number
- 1104814490
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Mills, Cfo(314) 566-0459
- License
- 1621197 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
450 W 1st St
Aviston, IL 62216-3440
Phone: (618) 228-7615
Fax: (618) 228-7632
Street-level locationGet directions
Mailing address
1670 Essex Way Ste B
O Fallon, IL 62269-3063
Other names (DBA / former)
- Doing business as
- Aviston Countryside Manor
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.