OrganizationActive
Ottawa Pavilion, Ltd.
NPI 1205813490 · Skilled Nursing Facility · Ottawa, IL
Ottawa Pavilion, Ltd. is a Skilled Nursing Facility organization in Ottawa, IL (NPI 1205813490).
Provider details
- NPI number
- 1205813490
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marshall Mauer, Secretary-Treasurer(847) 679-8219
- License
- 0039230 (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
704 E Glover St
Ottawa, IL 61350-4131
Phone: (815) 431-4900
Fax: (815) 434-2376
Street-level locationGet directions
Mailing address
704 E Glover St
Ottawa, IL 61350-4131
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2015-01-14
Frequently asked questions
- What is Ottawa Pavilion, Ltd.'s NPI number?
- Ottawa Pavilion, Ltd.'s National Provider Identifier (NPI) is 1205813490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ottawa Pavilion, Ltd.?
- Ottawa Pavilion, Ltd. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ottawa Pavilion, Ltd. located?
- Ottawa Pavilion, Ltd.'s practice location on file with NPPES is 704 E Glover St, Ottawa, IL 61350-4131.
- What is Ottawa Pavilion, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Ottawa Pavilion, Ltd. is (815) 431-4900.
- Who is the authorized official for Ottawa Pavilion, Ltd.?
- The authorized official listed on Ottawa Pavilion, Ltd.'s NPPES record is Marshall Mauer, Secretary-Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ottawa Pavilion, Ltd.'s NPI active?
- Yes — Ottawa Pavilion, Ltd.'s NPI (1205813490) is active in the NPPES registry as of the last update on 2015-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.