Active NPI
Burr Ridge Senior Operations LLC
Doing business as Eden Vista Burr Ridge
- Skilled Nursing Facility
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2024
- 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
- Max Stesel
- Title
- Manager
- Phone
- (773) 825-3336
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Ridge
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 11, 2005
- Medicare certification status
- Active
- Certified beds
- 29
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 |
|---|---|---|---|
| 14D0985519 | Eden Vista Burr Ridge | Certificate of waiver | Apr 19, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Burr Ridge Senior Operations LLC | 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 | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Maxim Stesel | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Chicagoland Senior Living Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| Jawwad Hussain | 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.
-
dba Eden Vista Prospect Heights
- Skilled Nursing Facility
- Prospect Heights, IL
- NPI 1225899081
Chicagoland Senior Living Holdings LLC
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.
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1336434935
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Burr Ridge, IL
- NPI 1346290707
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.