East Bank Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0047209 Issued in IL

Legal business name

EAST BANK CENTER LLC

Practice address

6131 Park Ridge Rd
Loves Park, IL 61111-4029

Phone

(815) 633-6810

Fax

(815) 633-5095

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Miss Edna L Lopez

Title

Administrator

Phone

(815) 633-6810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 146069

Legal name

EAST BANK CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Aug 30, 2004

Last certification

Sep 11, 2024

Beds

54

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Mar 23, 2005 in IL

Enrollment address

6131 Park Ridge Rd
Loves Park, IL 61111-4029

Nursing home name

AVIRA HEALTH PAVILION

Listed as

Avira Health PavilionCCN 146069 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 30, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5425.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

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.

• Steven J Disanti, DO

  • General Practice Physician
  • Genoa, IL
  • NPI 1578582474

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven J Disanti, DO

  • General Practice Physician
  • Genoa, IL
  • NPI 1578582474
  NPD (past)

Affiliated clinicians 1

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

• Steven J Disanti, DO

  • General Practice Physician
  • Genoa, IL
  • NPI 1578582474

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1124173844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 RAYMOND CT",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601428069",
            "telephone_number": "847-515-1505",
            "fax_number": "847-515-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 PARK RIDGE RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114029",
            "telephone_number": "815-633-6810",
            "fax_number": "815-633-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BANK CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-633-6810",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0047209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald M Donnelli, DDS
• Helga Drinka, RPH.
• Jennifer Dungan, OD
• Norbert C. Duttlinger, M.D.
• Cathy Lynn Dzik, DC
• Emily N. Eckerstrom, MD
• Adam Duane Eiseman, D.P.T.
• Maureen Elick, LCPC
• Chimdindu Okechukwu Emeka-Emeh, MD
• Lowell Dean Enser, M.D.

• Skilled Nursing Facility in Loves Park, IL
• Providers in Loves Park, 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 Oct 26, 2011; 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.