Buckingham Pavilion Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0019836 Issued in IL

Legal business name

BUCKINGHAM PAVILION INC

Practice address

2625 W Touhy Ave
Chicago, IL 60645

Phone

(773) 373-5333

Fax

(773) 973-5222

NPI assigned

Jul 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larisa Fridman

Title

Financial Manager

Phone

(773) 973-5333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285667691. Details of each certification follow.

• CCN 145285 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145285

Legal name

BUCKINGHAM PAVILION INC

Doing business as

BUCKINGHAM PAVILION INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 14, 1975

Last certification

Nov 15, 2024

Beds

247 (235 certified)

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

2625 W Touhy Ave
Chicago, IL 60645-3109

Nursing home name

BUCKINGHAM PAVILION

Listed as

Buckingham PavilionCCN 145285 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 14, 1975

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

235117.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gerald M. Farby, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1972504454

  Nursing home

  Care Compare affiliation
• Marni Hope Goldberg, MD

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1063459741

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285667691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60645",
            "telephone_number": "773-373-5333",
            "fax_number": "773-973-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60645",
            "telephone_number": "773-373-5333",
            "fax_number": "773-973-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKINGHAM PAVILION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIDMAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "773-973-5333"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0019836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najah Buck
• Ryan James Buck, M.D.
• Shirley Buck
• Stacey Buck
• Marie Ellen Buckanavage
• Buckingham Pavilion Inc
• Anne Janssen Buckingham, PH.D.
• Deborah L Buckingham, M.D.
• Catherine Marie Buckley, MD
• Craig E Buckley, M.D.

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.