Pavilion of Ottawa LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PAVILION OF OTTAWA LLC

Doing business as

Pavilion of Ottawa

Practice address

704 E Glover St
Ottawa, IL 61350-4131

Phone

(815) 434-7144

Fax

(815) 434-2376

NPI assigned

May 24, 2022

Last updated

Nov 4, 2025By 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

Marcella Graf

Title

Cfo

Phone

(224) 470-2044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pavilion of Ottawa Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306584958. Details of each certification follow.

• CCN 145426 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145426

Legal name

PAVILION OF OTTAWA LLC

Doing business as

PAVILION OF OTTAWA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jun 4, 1981

Last certification

Oct 24, 2024

Beds

135

Ownership / control type

Individual

Organization structure

PartnershipProprietary

Enrollment address

704 E Glover St
Ottawa, IL 61350-4131

Nursing home name

PAVILION OF OTTAWA

Affiliated entity

PAVILION HEALTHCARE

Listed as

Pavilion of OttawaCCN 145426 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jun 4, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

135128.3 residents per day on average

Chain

Pavilion Healthcare5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jason C. Robin, MD

  • Cardiovascular Disease Physician
  • Glenview, IL
  • NPI 1144307729

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Citadel at Casa Scalabrini LLC

  dba Citadel at Casa Scalabrini

  • Skilled Nursing Facility
  • Northlake, IL
  • NPI 1023859048

  Todd a Stern 2015 Irrv Ins TR

  CMS ownership
• Citadel at Saint Benedict LLC

  dba Citadel at Saint Benedict

  • Skilled Nursing Facility
  • Niles, IL
  • NPI 1467293480

  Todd a Stern 2015 Irrv Ins TR

  CMS ownership
• Citadel Care Center-Kankakee, LLC

  dba Citadel Care Center-Kankakee

  • Skilled Nursing Facility
  • Kankakee, IL
  • NPI 1649648833

  Stern Family Investment TR

  CMS ownership
• Citadel Care Center-Wilmette, LLC

  dba Citadel Care Center-Wilmette

  • Skilled Nursing Facility
  • Wilmette, IL
  • NPI 1366810558

  Stern Family Investment TR

  CMS ownership
• Citadel of Bourbonnais LLC

  dba The Citadel of Bourbonnais

  • Skilled Nursing Facility
  • Bourbonnais, IL
  • NPI 1710594353

  Todd a Stern 2015 Irrv Ins TR

  CMS ownership
• Citadel of Glenview LLC

  dba The Citadel of Glenview

  • Skilled Nursing Facility
  • Glenview, IL
  • NPI 1902413537

  Todd a Stern 2015 Irrv Ins TR

  CMS ownership
• Citadel of Skokie LLC

  dba The Citadel of Skokie

  • Skilled Nursing Facility
  • Skokie, IL
  • NPI 1093354078

  Stern Family Investment TR

  CMS ownership
• Ignite Medical Hanover Park, LLC

  • Skilled Nursing Facility
  • Hanover Park, IL
  • NPI 1932899689

  Stern Family Investment TR

  CMS ownership
• Pavilion of Bridgeview LLC

  dba Pavilion of Bridgeview

  • Skilled Nursing Facility
  • Bridgeview, IL
  • NPI 1316685969

  Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust, Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust, Stern Family Investment TR, Todd a Stern 2015 Irrv Ins TR

  CMS ownership
• Pavilion of Logan Square LLC

  dba Pavilion of Logan Square

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1588302137

  Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust, Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust, Stern Family Investment TR, Todd a Stern 2015 Irrv Ins TR

  CMS ownership
• Pavilion of South Shore LLC

  dba Pavilion of South Shore

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1922746577

  Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust, Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust, Jonathan H Aaron Revocable Trust, Stern Family Investment TR, Todd a Stern 2015 Irrv Ins TR

  CMS ownership
• Pavilion on Main Street LLC

  dba Pavilion on Main Street

  • Skilled Nursing Facility
  • Sandwich, IL
  • NPI 1366180903

  Emst LLC, Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust, Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust, Jonathan H Aaron Revocable Trust, Stern Family Investment TR, Todd a Stern 2015 Irrv Ins TR

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason C. Robin, MD

  • Cardiovascular Disease Physician
  • Glenview, IL
  • NPI 1144307729
  NPD (past)

Affiliated clinicians 2

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

• Gueorgui S Gueorguiev, M.D.

  • Family Medicine Physician
  • Ottawa, IL
  • NPI 1356336952

  Nursing home

  Care Compare affiliation
• Robert B Maguire, MD

  • Internal Medicine Physician
  • Ottawa, IL
  • NPI 1174571673

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1306584958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 CHASE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764008",
            "telephone_number": "224-470-2044",
            "fax_number": "224-470-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E GLOVER ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504131",
            "telephone_number": "815-434-7144",
            "fax_number": "815-434-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION OF OTTAWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "224-470-2044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006985",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pavilion of Ottawa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Pagano, APN
• Neil Pandya, M.D.
• Molly Elizabeth Panepinto
• Michael Pantig
• Kayleigh Layne Parham, LSW
• Peace by Piece Counseling P.C.
• Gabrielle Rose Peasley, DC
• Paul G Perona, MD
• Seth M Perry, D.C.
• Joseph Pierri

• Skilled Nursing Facility in Ottawa, IL
• Providers in Ottawa, 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 Nov 4, 2025; 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.