Organization Active NPI

Prospect Heights Operations LLC

  • Skilled Nursing Facility
  • Prospect Heights, IL
National Provider Identifier
1225899081
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PROSPECT HEIGHTS OPERATIONS LLC
Doing business as
Eden Vista Prospect Heights
Practice address
700 E Euclid Ave
Prospect Heights, IL 60070-3409
Phone
(847) 797-2700
NPI assigned
Jan 18, 2024
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
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

700 E Euclid Ave
Prospect Heights, IL 60070-3409

Mailing address

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

Other names 1

  • Eden Vista Prospect Heights Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240726001726 IL Part A Provider - Skilled Nursing Facility 4880138429 Practice locations: Prospect Heights, IL

Skilled nursing facility certification: CCN 145852

Legal name
PROSPECT HEIGHTS OPERATIONS LLC
Doing business as
EDEN VISTA PROSPECT HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 20, 1995
Last certification
Aug 9, 2024
Beds
158 (30 certified)
Ownership / control type
Corporation
Multi-facility organization
Eden Senior Care
Organization structure
LLCProprietary
Enrollment address
700 E Euclid Ave
Prospect Heights, IL 60070-3409
Nursing home name
EDEN VISTA PROSPECT HEIGHTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eden Vista Prospect HeightsCCN 145852 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Oct 20, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3023.3 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
14D0907375Eden Vista Prospect Heights700 E Euclid Ave, Prospect Heights, IL 60070Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Robert Liberman Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 3.85%
Pamela D Rice Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 2.56%
Vista Senior Management Living LLC Organization, Skokie, IL LLC, Management services company Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Dan Keener Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 2.56%
Ilya Berman Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 3.85%
Mordechai Polstein Individual Operational/Managerial Control Feb 15, 2024
Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 10.25%
Appollona Partners LLC Organization, Saint Louis, MO LLC Adp of the SNF Mar 28, 2024
Indirect Ownership Interest Mar 28, 2024 3.21%
Boris Nemad Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 2.56%
Dovie Mauer Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 2.56%
Mikhail Malishevich Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 5.13%
Prospect Heights Operations LLC Organization, Prospect Heights, 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
Prospect Heights Realty LLC Organization, Prospect Heights, IL LLC Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Maxim Stesel Individual Operational/Managerial Control Feb 15, 2024
Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Jan 1, 2025 48.74%
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
Sara Yeverovich Revocable Trust Organization, Boca Raton, FL Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 1.28%
Yechoved Lerman Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 1.28%
Stern Family Investment TR Organization, Skokie, IL Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 2.56%
Oleg Boyko Individual Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 2.56%
Gleb Zarkh Individual Operational/Managerial Control Feb 15, 2024
Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 1.92%
John Antolik Revocable Trust Organization, Palm Beach Gardens, FL Adp of the SNF Mar 19, 2024
Indirect Ownership Interest Mar 19, 2024 3.21%
Empower Staffing LLC Organization, Evanston, IL LLC Adp of the SNF Feb 15, 2024
Indirect Ownership Interest Feb 15, 2024 1.92%
Christopher Kropp Individual Operational/Managerial Control Mar 1, 2024
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

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": "1225899081",
    "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": "700 E EUCLID AVE",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600703409",
            "telephone_number": "847-797-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT HEIGHTS 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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Vista Prospect Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prospect Heights, IL

Sources for this page

Verify at the official NPI Registry.