NPIMap

Organization Active NPI

Palladian Taylorville SNF LLC

Doing business as Taylorville Care Center

  • Skilled Nursing Facility
  • Taylorville, IL
National Provider Identifier
1649268947
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1615453 Issued in IL
Legal business name
PALLADIAN TAYLORVILLE SNF LLC
Doing business as
Taylorville Care Center
Practice address
600 S Houston St
Taylorville, IL 62568-2073
Phone
(217) 824-9636
Fax
(217) 824-8437
NPI assigned
Oct 11, 2005
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Mr. Michael Jason Mills
Title
Cfo
Phone
(314) 566-0459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1615453 IL Primary

Addresses

Primary practice location

600 S Houston St
Taylorville, IL 62568-2073

Mailing address

1670 Essex Way Ste B
O Fallon, IL 62269-3063
Phone (618) 327-3064

Other identifiers 1

IdentifierTypeStateIssuer
3711606626256801MedicaidIL

Other names 1

  • Taylorville Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513002429 IL Part A Provider - Skilled Nursing Facility 1355772062 Practice locations: Taylorville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649268947. Details of each certification follow.

Skilled nursing facility certification: CCN 145502

Legal name
PALLADIAN TAYLORVILLE SNF, LLC
Doing business as
TAYLORVILLE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 5, 1984
Last certification
Jun 10, 2024
Beds
98
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Helia Bridgmark
Organization structure
LLCProprietary
Incorporated
Sep 19, 2019 in IL
Enrollment address
600 S Houston St
Taylorville, IL 62568-2073
Nursing home name
TAYLORVILLE CARE CENTER
Affiliated entity
PALLADIAN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Taylorville Care CenterCCN 145502 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 5, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9873.1 residents per day on average
Chain
Palladian Healthcare6 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $247,115

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Stephen P Miller Individual Contracted Managing EmployeePresident Mar 1, 2020
5% Or Greater Direct Ownership Interest Sep 19, 2019 100%
Corporate OfficerPresident Sep 19, 2019
Michael Jason Mills Individual W-2 Managing EmployeeChief Financial Officer Sep 19, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1649268947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 ESSEX WAY STE B",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693063",
            "telephone_number": "618-327-3064",
            "fax_number": "618-327-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S HOUSTON ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682073",
            "telephone_number": "217-824-9636",
            "fax_number": "217-824-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLADIAN TAYLORVILLE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-566-0459",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1615453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3711606626256801",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Taylorville Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.