NPIMap

Organization Active NPI

Pavilion of Bridgeview LLC

Doing business as Pavilion of Bridgeview

  • Skilled Nursing Facility
  • Bridgeview, IL
National Provider Identifier
1316685969
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PAVILION OF BRIDGEVIEW LLC
Doing business as
Pavilion of Bridgeview
Practice address
8100 S Harlem Ave
Bridgeview, IL 60455-1690
Phone
(708) 594-5440
Fax
(708) 594-7934
NPI assigned
May 24, 2022
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8100 S Harlem Ave
Bridgeview, IL 60455-1690

Mailing address

3755 Chase Ave
Skokie, IL 60076-4008
Phone (224) 470-2044

Other identifiers 1

IdentifierTypeStateIssuer
6001168MedicaidIL

Other names 1

  • Pavilion of Bridgeview Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230118000315 IL Part A Provider - Skilled Nursing Facility 5698146363 Practice locations: Bridgeview, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316685969. Details of each certification follow.

Skilled nursing facility certification: CCN 145208

Legal name
PAVILION OF BRIDGEVIEW LLC
Doing business as
THE PAVILION OF BRIDGEVIEW
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 25, 1969
Last certification
Oct 3, 2024
Beds
146
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 5, 2021 in IL
Enrollment address
8100 S Harlem Ave
Bridgeview, IL 60455-1690
Nursing home name
PAVILION OF BRIDGEVIEW, THE
Affiliated entity
PAVILION HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pavilion of Bridgeview, theCCN 145208 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 25, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
146130.3 residents per day on average
Chain
Pavilion Healthcare5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Dec 19, 2022 12.11%
Todd a Stern Individual 5% Or Greater Direct Ownership Interest Dec 19, 2022 5.56%
Marcella Graf Individual Corporate OfficerCfo Dec 19, 2022 3%
W-2 Managing EmployeeCfo Dec 19, 2022
Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Dec 19, 2022 9%
Todd a Stern 2015 Irrv Ins TR Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 19, 2022 16.05%
Jonathan Aaron Individual 5% Or Greater Direct Ownership InterestManager Dec 19, 2022 22.11%
Kenneth Ripstein Individual 5% Or Greater Direct Ownership Interest Dec 19, 2022 9.56%
Raphaela E Stern Individual 5% Or Greater Direct Ownership Interest Dec 19, 2022 5.56%
Stern Family Investment TR Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 19, 2022 16.05%

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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": "1316685969",
    "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": "8100 S HARLEM AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551690",
            "telephone_number": "708-594-5440",
            "fax_number": "708-594-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION OF BRIDGEVIEW 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001168",
            "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 Bridgeview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeview, IL

Sources for this page

Verify at the official NPI Registry.