NPIMap

Organization Active NPI

Pearl of Evanston, LLC

  • Skilled Nursing Facility
  • Evanston, IL
National Provider Identifier
1417647157
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PEARL OF EVANSTON, LLC
Practice address
820 Foster St
Evanston, IL 60201-3212
Phone
(847) 492-7700
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Eitan Zeffren
Title
Owner
Phone
(847) 492-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

820 Foster St
Evanston, IL 60201-3212

Mailing address

4711 Golf Rd Ste 200
Skokie, IL 60076-1236
Phone (847) 933-9280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230811000123 IL Part A Provider - Skilled Nursing Facility 7911369764 Practice locations: Evanston, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417647157. Details of each certification follow.

Skilled nursing facility certification: CCN 145803

Legal name
PEARL OF EVANSTON, LLC
Doing business as
THE PEARL OF EVANSTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 5, 1994
Last certification
May 15, 2025
Beds
158
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jul 1, 2023
Organization structure
LLCProprietary
Enrollment address
820 Foster St
Evanston, IL 60201-3212
Nursing home name
PEARL OF EVANSTON,THE
Affiliated entity
PEARL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pearl of Evanston,theCCN 145803 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 5, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
158118.8 residents per day on average
Chain
Pearl Healthcare15 facilities in the chain

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
14D0953024Pearl of Evanston LLC820 Foster Street, Evanston, IL 60201Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Ez Holdco LLC Organization, Lincolnwood, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 60%
Edss Ventures LLC Organization, Brooklyn, NY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 7.14%
Mark Hocuk Individual W-2 Managing EmployeeAdministrator Feb 1, 2023
PHC Evanston Holdings LLC Organization, Lincolnwood, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2023 99%
Eitan Zeffren Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2023 60%
Corporate OfficerManager Jul 1, 2023
Reg 2018 Irrevocable Trust U/a/D 1/1/18 Organization, Skokie, IL 5% Or Greater Indirect Ownership Interest Jun 1, 2023 10%

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1417647157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761236",
            "telephone_number": "847-933-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 FOSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013212",
            "telephone_number": "847-492-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OF EVANSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "ZEFFREN",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-492-7700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.