Organization Active NPI

Burr Ridge Senior Operations LLC

Doing business as Eden Vista Burr Ridge

  • Skilled Nursing Facility
  • Burr Ridge, IL
National Provider Identifier
1154182913
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BURR RIDGE SENIOR OPERATIONS LLC
Doing business as
Eden Vista Burr Ridge
Practice address
6801 High Grove Blvd
Burr Ridge, IL 60527-7585
Phone
(630) 920-2900
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Max Stesel
Title
Manager
Phone
(773) 825-3336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

6801 High Grove Blvd
Burr Ridge, IL 60527-7585

Mailing address

8170 McCormick Blvd Ste 112
Skokie, IL 60076-2914
Phone (773) 825-3336

Other names 1

  • Eden Vista Burr Ridge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426001262 IL Part A Provider - Skilled Nursing Facility 0143660936 Practice locations: Burr Ridge, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154182913. Details of each certification follow.

Skilled nursing facility certification: CCN 146094

Legal name
BURR RIDGE SENIOR OPERATIONS LLC
Doing business as
EDEN VISTA BURR RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 11, 2005
Last certification
Jan 30, 2025
Beds
142 (29 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Eden Senior Care
Organization structure
LLCProprietary
Enrollment address
6801 High Grove Blvd
Burr Ridge, IL 60527-7585
Nursing home name
EDEN VISTA BURR RIDGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eden Vista Burr RidgeCCN 146094 · 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
Ownership
For profit - Limited Liability company
Certified
Oct 11, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2921.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0985519Eden Vista Burr Ridge6801 High Grove Blvd, Burr Ridge, IL 60527Certificate of waiverApr 19, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Burr Ridge Senior Operations LLC Organization, Burr Ridge, IL Created for acquisition, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2024 100%
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Lynn Woods Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Maxim Stesel Individual 5% Or Greater Indirect Ownership InterestManager Mar 1, 2024 100%
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Chicagoland Senior Living Holdings LLC Organization, Skokie, IL Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Jawwad Hussain Individual Adp of the SNF Mar 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1154182913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 112",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762914",
            "telephone_number": "773-825-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277585",
            "telephone_number": "630-920-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURR RIDGE SENIOR OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "STESEL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-825-3336"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Vista Burr Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.