NPIMap

Organization Active NPI

Resilience Healthcare - West Suburban Medical Center, LLC

Doing business as West Suburban Medical Center

  • Skilled Nursing Facility
  • Oak Park, IL
National Provider Identifier
1538635545
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RESILIENCE HEALTHCARE - WEST SUBURBAN MEDICAL CENTER, LLC
Doing business as
West Suburban Medical Center
Practice address
3 Erie CT
Oak Park, IL 60302-2519
Phone
(708) 383-6200
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Manoj Prasad, MD
Title
Ceo
Phone
(708) 763-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3 Erie CT
Oak Park, IL 60302-2519

Mailing address

3 Erie CT
Oak Park, IL 60302-2519
Phone (708) 383-6200

Other names 1

  • West Suburban Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190306003676 IL Part A Provider - Skilled Nursing Facility 4385983428 Practice locations: Oak Park, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538635545. Details of each certification follow.

Skilled nursing facility certification: CCN 145743

Legal name
RESILIENCE HEALTHCARE - WEST SUBURBAN MEDICAL CENTER, LLC
Doing business as
WEST SUBURBAN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 25, 1993
Last certification
Oct 10, 2024
Beds
50
Ownership / control type
Corporation
Most recent change of ownership
Jan 28, 2019
Organization structure
LLCProprietary
Incorporated
Aug 20, 2018 in DE
Enrollment address
3 Erie CT
Oak Park, IL 60302-2519
Nursing home name
WEST SUBURBAN MEDICAL CTR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
West Suburban Medical CtrCCN 145743 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 25, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
506.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Resilience Healthcare-West Suburban Medical Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Aum Global Healthcare Management, LLC Organization, Rochester Hills, MI Created for acquisition, LLC Direct Ownership Interest Dec 3, 2022 100%
Michele Greenberg Individual Operational/Managerial Control Dec 3, 2022
Adp of the SNF Dec 3, 2022
Indirect Ownership Interest Dec 3, 2022
Individual Adp of the SNF Jan 29, 2025
Indirect Ownership Interest Jul 1, 2024
Individual Adp of the SNF Jul 1, 2024
Manoj K Prasad Individual Corporate OfficerCeo Dec 3, 2022 60%
Operational/Managerial Control Dec 3, 2022
Adp of the SNF Dec 3, 2022
Indirect Ownership Interest Dec 3, 2022 60%
Organization, Princeton, NJ LLC Indirect Ownership Interest Dec 3, 2022
Rathnaker Reddy Patlola Individual Adp of the SNF Dec 3, 2022
Indirect Ownership Interest Dec 3, 2022 40%

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": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1538635545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-383-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-383-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE HEALTHCARE - WEST SUBURBAN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-763-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Suburban Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Suburban Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.