Pavilion on Main Street LLC
NPI 1366180903 · Skilled Nursing Facility · Sandwich, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavilion on Main Street LLC is a Skilled Nursing Facility organization in Sandwich, IL (NPI 1366180903).
Provider details
- NPI number
- 1366180903
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marcella Graf, Cfo(224) 470-2044
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
4 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
- Pavilion on Main Street
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Pavilion on Main Street LLC's NPI number?
- Pavilion on Main Street LLC's National Provider Identifier (NPI) is 1366180903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pavilion on Main Street LLC?
- Pavilion on Main Street LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pavilion on Main Street LLC located?
- Pavilion on Main Street LLC's practice location on file with NPPES is 515 N Main St, Sandwich, IL 60548-1253.
- What is Pavilion on Main Street LLC's phone number?
- The practice phone number listed in the NPPES registry for Pavilion on Main Street LLC is (815) 786-8426.
- Does Pavilion on Main Street LLC accept Medicare?
- Pavilion on Main Street 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 Pavilion on Main Street LLC?
- The authorized official listed on Pavilion on Main Street LLC's NPPES record is Marcella Graf, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pavilion on Main Street LLC's NPI active?
- Yes — Pavilion on Main Street LLC's NPI (1366180903) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.