Pavilion of Waukegan, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0049809 Issued in IL

Legal business name

PAVILION OF WAUKEGAN, LLC

Practice address

2217 Washington St
Waukegan, IL 60085-5060

Phone

(847) 244-4100

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Aaron Topper

Title

Manager

Phone

(847) 244-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waukegan Health and Rehab Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 145621

Legal name

PAVILION OF WAUKEGAN, LLC

Doing business as

WAUKEGAN HEALTH AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jul 1, 1989

Last certification

May 21, 2025

Beds

112

Ownership / control type

Limited Liability Corporation

Multi-facility organization

AA Healthcare Managment

Organization structure

LLCProprietary

Enrollment address

2217 Washington St
Waukegan, IL 60085-5060

Nursing home name

WAUKEGAN HEALTH AND REHAB

Listed as

Waukegan Health and RehabCCN 145621

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11278.8 residents per day on average

Penalties (3 years)

2Fines totaling $8,328

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 12

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.

• Sachin Jain, MD

  • Internal Medicine Physician
  • Waukegan, IL
  • NPI 1326292228

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Sachin Jain, MD

  • Internal Medicine Physician
  • Waukegan, IL
  • NPI 1326292228

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1871766741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855060",
            "telephone_number": "847-244-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855060",
            "telephone_number": "847-244-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION OF WAUKEGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "TOPPER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-244-4100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0049809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "14-5621",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Waukegan Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krina D Patel, RN, MSN, APRN
• Pratibha B Patel, DPM
• Rina Navinchandra Patel, D.D.S
• Joanne J Patterson
• Pavilion of Waukegan, II, Inc.
• James Pawlik, DDS
• Pearle Vision
• Joshua Pechter
• Sharon Jean Peddicord, LCSW
• Ashley Perez

• Skilled Nursing Facility in Waukegan, IL
• Providers in Waukegan, 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 Jun 10, 2026; 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.