NPIMap

Organization Active NPI

Pearl of Oswego, LLC

  • Skilled Nursing Facility
  • Oswego, IL
National Provider Identifier
1609566348
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 OSWEGO, LLC
Practice address
4390 Route 71
Oswego, IL 60543-9866
Phone
(630) 554-1001
NPI assigned
May 8, 2023
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
(630) 554-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4390 Route 71
Oswego, IL 60543-9866

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
O20230714000729 IL Part A Provider - Skilled Nursing Facility 7416317037 Practice locations: Oswego, IL

Skilled nursing facility certification: CCN 146034

Legal name
PEARL OF OSWEGO, LLC
Doing business as
PEARL AT THE TILLERS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 9, 2002
Last certification
Mar 6, 2025
Beds
105
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
4390 Route 71
Oswego, IL 60543-9866
Nursing home name
PEARL AT THE TILLERS
Affiliated entity
PEARL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pearl at the TillersCCN 146034
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 9, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10572.9 residents per day on average
Chain
Pearl Healthcare15 facilities in the chain

Processed by Care Compare on Aug 1, 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 Jun 1, 2023 60%
PHC Oswego Holdings LLC Organization, Lincolnwood, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2023 99%
Niki Jo Mehta Individual W-2 Managing EmployeeAdministrator Jun 1, 2023
Edss Ventures LLC Organization, Brooklyn, NY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2023 7%
Eitan Zeffren Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2023 60%
Operational/Managerial ControlManager Jun 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 5

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": "1609566348",
    "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": "4390 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439866",
            "telephone_number": "630-554-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OF OSWEGO, 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": "630-554-1001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.