Pavilion of South Shore LLC
NPI 1922746577 · Skilled Nursing Facility · Chicago, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavilion of South Shore LLC is a Skilled Nursing Facility organization in Chicago, IL (NPI 1922746577).
Provider details
- NPI number
- 1922746577
- 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 of South Shore
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Pavilion of South Shore LLC's NPI number?
- Pavilion of South Shore LLC's National Provider Identifier (NPI) is 1922746577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pavilion of South Shore LLC?
- Pavilion of South Shore LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pavilion of South Shore LLC located?
- Pavilion of South Shore LLC's practice location on file with NPPES is 7750 S South Shore Dr, Chicago, IL 60649-4434.
- What is Pavilion of South Shore LLC's phone number?
- The practice phone number listed in the NPPES registry for Pavilion of South Shore LLC is (773) 731-4200.
- Does Pavilion of South Shore LLC accept Medicare?
- Pavilion of South Shore 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 of South Shore LLC?
- The authorized official listed on Pavilion of South Shore 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 of South Shore LLC's NPI active?
- Yes — Pavilion of South Shore LLC's NPI (1922746577) 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.