Active NPI
Pearl of Hinsdale, LLC
- Skilled Nursing Facility
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PEARL OF HINSDALE, LLC
- Practice address
- 600 W Ogden Ave
Hinsdale, IL 60521-3158 - Phone
- (630) 625-9630
- NPI assigned
- Jan 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eitan Zeffren
- Title
- Authorized Official
- Phone
- (630) 325-9630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
600 W Ogden Ave
Hinsdale, IL 60521-3158
Mailing address
4711 Golf Rd Ste 200
Skokie, IL 60076-1236
Phone (847) 933-9280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230821000618 | IL | Part A Provider - Skilled Nursing Facility | 4688048739 | Practice locations: Hinsdale, IL |
Skilled nursing facility certification: CCN 145246
- Legal name
- PEARL OF HINSDALE LLC
- Doing business as
- THE PEARL OF HINSDALE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Dec 15, 1972
- Last certification
- Oct 18, 2024
- Beds
- 202
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- pearl healthcare
- Organization structure
- LLC
- Enrollment address
- 600 West Ogden Avenue
Hinsdale, IL 60521-3158 - Nursing home name
- PEARL OF HINSDALE, THE
- Affiliated entity
- PEARL HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pearl of Hinsdale, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 15, 1972
- Medicare certification status
- Active
- Certified beds
- 202
- Chain
- Pearl Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0683766 | Pearl of Hinsdale | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- IL HMO
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ben Cohen Trust Fbo John C. Davison | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 7.11% |
| Ez Holdco LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 60% |
| Danielle Leigh Woods King | W-2 Managing Employee | Feb 1, 2023 | |
| Hinsdale Holding Company LLC | 5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 99.99% |
| Ben Cohen Trust Fbo Mark Edward Davison | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 7.11% |
| Eitan Zeffren | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | |
| Corporate Officer | Feb 1, 2023 | ||
| Ben Cohen Trust Fbo Joanna Davison | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 7.11% |
| Reg 2018 Irrevocable Trust U/a/D 1/1/18 | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 10% |
Facilities with the same owner 13
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Crystal Lake, IL
- NPI 1902566185
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Elgin, IL
- NPI 1669246500
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Elk Grove Village, IL
- NPI 1023722105
Ben Cohen Trust Fbo Joanna Davison, Ben Cohen Trust Fbo John C. Davison, Ben Cohen Trust Fbo Mark Edward Davison, Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Evanston, IL
- NPI 1417647157
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Hillside, IL
- NPI 1952996142
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Joliet, IL
- NPI 1639811383
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1548974629
Ben Cohen Trust Fbo Joanna Davison, Ben Cohen Trust Fbo John C. Davison, Ben Cohen Trust Fbo Mark Edward Davison, Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Naperville, IL
- NPI 1265054001
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Aurora, IL
- NPI 1922740679
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Oswego, IL
- NPI 1609566348
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Rolling Meadows, IL
- NPI 1871075010
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- St Charles, IL
- NPI 1912771858
Ez Holdco LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Burr Ridge, IL
- NPI 1023067311
Nursing home
-
- Hospitalist Physician
- Downers Grove, IL
- NPI 1144439456
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1003520180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 GOLF RD STE 200",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761236",
"telephone_number": "847-933-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W OGDEN AVE",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213158",
"telephone_number": "630-625-9630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL OF HINSDALE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "ZEFFREN",
"authorized_official_first_name": "EITAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "630-325-9630"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.