NPIMap

Organization Active NPI

Prime Healthcare Senior Living, LLC

  • Skilled Nursing Facility
  • Joliet, IL
National Provider Identifier
1588472005
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRIME HEALTHCARE SENIOR LIVING, LLC
Practice address
210 Springfield Ave
Joliet, IL 60435-6589
Phone
(815) 725-3400
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Christopher Doan
Title
Managing Associate General Counsel
Phone
(310) 259-4706

Specialties & licenses 1

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

Addresses

Primary practice location

210 Springfield Ave
Joliet, IL 60435-6589

Mailing address

210 Springfield Ave
Joliet, IL 60435-6589
Phone (815) 725-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250428002256 IL Part A Provider - Skilled Nursing Facility 1759807209 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Park Ridge, IL
O20250519002842 IL Part A Provider - Skilled Nursing Facility 1759807209 Practice locations: Joliet, IL
O20250708000148 IL Part A Provider - Skilled Nursing Facility 1759807209 Practice locations: Kankakee, IL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1588472005. Details of each certification follow.

Skilled nursing facility certification: CCN 145324

Legal name
PRIME HEALTHCARE SENIOR LIVING, LLC
Doing business as
RESURRECTION PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 1, 1976
Last certification
Mar 14, 2025
Beds
298
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 1, 2025
Organization structure
LLCProprietary
Enrollment address
1001 N Greenwood Ave
Park Ridge, IL 60068-2054
Nursing home name
HARMONY PARK RIDGE
Affiliated entity
PRIME HEALTHCARE

Skilled nursing facility certification: CCN 145029

Legal name
PRIME HEALTHCARE SENIOR LIVING, LLC
Doing business as
VILLA FRANCISCAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Aug 29, 2024
Beds
154
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Healthcare
Organization structure
LLCProprietary
Enrollment address
210 Springfield Ave
Joliet, IL 60435-6589
Nursing home name
AVANTARA JOLIET
Affiliated entity
PRIME HEALTHCARE

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avantara JolietCCN 145029 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
154109.1 residents per day on average
Chain
Prime Healthcare6 facilities in the chain
Penalties (3 years)
3Fines totaling $33,535

Processed by Care Compare on Aug 1, 2026.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmony Park RidgeCCN 145324 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
298138.9 residents per day on average
Chain
Prime Healthcare6 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
8Fines totaling $223,481

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Prime Healthcare Services, Inc Organization, Ontario, CA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 6, 2024 100%
Adp of the SNF Apr 22, 2025
Adp of the SNF Apr 1, 2025
Steven Aleman Individual Corporate OfficerChief Financial Officer Dec 6, 2024
Corporate DirectorDirector Dec 6, 2024
Adp of the SNF Mar 1, 2025
Operational/Managerial Control Mar 1, 2025
Ashok D Sawlani Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Pamela Lamb Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Christopher Doan Individual Corporate OfficerManaging Associate General Counsel Dec 6, 2024
Adp of the SNF Mar 1, 2025
Prime Healthcare Holdings Inc Organization, Ontario, CA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2024 100%
Christina Miller Individual Operational/Managerial Control Jun 3, 2025
Adp of the SNF Jun 3, 2025
Sandra Cubis Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Mouhannad Kantar Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 77

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

View all 77

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1588472005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356589",
            "telephone_number": "815-725-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356589",
            "telephone_number": "815-725-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "310-259-4706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.