Palladian Aviston Snf LLC
NPI 1104814490 · Skilled Nursing Facility · Aviston, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Palladian Aviston Snf LLC is a Skilled Nursing Facility organization in Aviston, IL (NPI 1104814490).
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
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
Mailing address
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
Frequently asked questions
- What is Palladian Aviston Snf LLC's NPI number?
- Palladian Aviston Snf LLC's National Provider Identifier (NPI) is 1104814490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palladian Aviston Snf LLC?
- Palladian Aviston Snf LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Palladian Aviston Snf LLC located?
- Palladian Aviston Snf LLC's practice location on file with NPPES is 450 W 1st St, Aviston, IL 62216-3440.
- What is Palladian Aviston Snf LLC's phone number?
- The practice phone number listed in the NPPES registry for Palladian Aviston Snf LLC is (618) 228-7615.
- Does Palladian Aviston Snf LLC accept Medicare?
- Palladian Aviston Snf LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Palladian Aviston Snf LLC?
- The authorized official listed on Palladian Aviston Snf LLC's NPPES record is Michael Mills, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palladian Aviston Snf LLC's NPI active?
- Yes — Palladian Aviston Snf LLC's NPI (1104814490) is active in the NPPES registry as of the last update on 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.