Active NPI
Pearl of Downers Grove LLC
- Skilled Nursing Facility
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PEARL OF DOWNERS GROVE LLC
- Practice address
- 3450 Saratoga Ave
Downers Grove, IL 60515-1141 - Phone
- (630) 969-2900
- NPI assigned
- Mar 12, 2025
- Last updated
- Mar 12, 2025
- 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) 969-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3450 Saratoga Ave
Downers Grove, IL 60515-1141
Mailing address
6865 N Lincoln Ave
Lincolnwood, IL 60712-4611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250724001136 | IL | Part A Provider - Skilled Nursing Facility | 4486160561 | Practice locations: Downers Grove, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1104625078. Details of each certification follow.
Skilled nursing facility certification: CCN 145657
- Legal name
- PEARL OF DOWNERS GROVE LLC
- Doing business as
- THE PEARL OF DOWNERS GROVE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 22, 1989
- Last certification
- Apr 14, 2025
- Beds
- 145
- Ownership / control type
- Corporation
- Multi-facility organization
- Hill Valley Healthcare
- Organization structure
- LLC
- Enrollment address
- 3450 Saratoga Ave
Downers Grove, IL 60515-1141 - Nursing home name
- THE PEARL OF DOWNERS GROVE
- Affiliated entity
- PEARL HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Pearl of Downers Grove
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 22, 1989
- Medicare certification status
- Active
- Certified beds
- 145
- Chain
- Pearl Healthcare
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 14D0668109 | Pearl of Downers Grove, the | Certificate of waiver | Aug 31, 2026 |
| 14D2330067 | Pearl of Downers Grove, the | Certificate of waiver | Sep 9, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 26
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 |
|---|---|---|---|
| Ez Holdco LLC | Adp of the SNF | Apr 10, 2025 | |
| Direct Ownership Interest | Apr 10, 2025 | 0.01% | |
| Indirect Ownership Interest | Apr 10, 2025 | 59.81% | |
| Indirect Ownership Interest | Apr 10, 2025 | 2.4% | |
| Indirect Ownership Interest | Apr 10, 2025 | 0.19% | |
| Shahaab Uddin | Operational/Managerial Control | Apr 10, 2025 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Indirect Ownership Interest | Apr 10, 2025 | 1.2% | |
| Indirect Ownership Interest | Apr 10, 2025 | 2.4% | |
| Trustee of the SNF | Apr 10, 2025 | ||
| Indirect Ownership Interest | Apr 10, 2025 | 2% | |
| Pearlstone Consulting LLC | Operational/Managerial Control | Apr 10, 2025 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Indirect Ownership Interest | Apr 10, 2025 | 1.2% | |
| Indirect Ownership Interest | Apr 10, 2025 | 0.98% | |
| Eitan Zeffren | Operational/Managerial Control | Apr 10, 2025 | |
| Managing Control - Governing Body | Apr 10, 2025 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Indirect Ownership Interest | Apr 10, 2025 | 59.81% | |
| Hooli Holdings LLC | Adp of the SNF | Apr 10, 2025 | |
| Indirect Ownership Interest | Apr 10, 2025 | 10% | |
| Indirect Ownership Interest | Apr 10, 2025 | 0.4% | |
| Adp of the SNF | Apr 10, 2025 | ||
| Indirect Ownership Interest | Apr 10, 2025 | 10% | |
| Indirect Ownership Interest | Apr 10, 2025 | 2% | |
| Indirect Ownership Interest | Apr 10, 2025 | 1.02% | |
| Adp of the SNF | Apr 10, 2025 | ||
| Reg 2018 Irrevocable Trust U/a/D 1/1/18 | Adp of the SNF | Apr 10, 2025 | |
| Indirect Ownership Interest | Apr 10, 2025 | 11% | |
| Indirect Ownership Interest | Apr 10, 2025 | 2% | |
| Indirect Ownership Interest | Apr 10, 2025 | 2% | |
| Indirect Ownership Interest | Apr 10, 2025 | 2% | |
| Indirect Ownership Interest | Apr 10, 2025 | 1.2% | |
| Direct Ownership Interest | Apr 10, 2025 | 100% | |
| Lisa Williams | Operational/Managerial Control | Apr 10, 2025 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Adp of the SNF | Apr 10, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- New Albany, IN
- NPI 1669784872
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Aurora, IL
- NPI 1184670671
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1104625078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6865 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607124611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 SARATOGA AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151141",
"telephone_number": "630-969-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL OF DOWNERS GROVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "ZEFFREN",
"authorized_official_first_name": "EITAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "630-969-2900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.