NPIMap

Organization Active NPI

Pearl of Joliet LLC

  • Skilled Nursing Facility
  • Joliet, IL
National Provider Identifier
1639811383
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PEARL OF JOLIET LLC
Practice address
306 N Larkin Ave
Joliet, IL 60435-6698
Phone
(815) 744-5560
NPI assigned
Apr 12, 2022
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Eitan Zeffren
Title
Manager
Phone
(815) 744-5560

Specialties & licenses 1

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

Addresses

Primary practice location

306 N Larkin Ave
Joliet, IL 60435-6698

Mailing address

306 N Larkin Ave
Joliet, IL 60435-6698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220616002443 IL Part A Provider - Skilled Nursing Facility 3870972102 Practice locations: Joliet, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639811383. Details of each certification follow.

Skilled nursing facility certification: CCN 145372

Legal name
PEARL OF JOLIET LLC
Doing business as
THE PEARL OF JOLIET
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 8, 1978
Last certification
Feb 13, 2025
Beds
214
Ownership / control type
Partnership
Multi-facility organization
Pearl Healthcare
Most recent change of ownership
May 1, 2022
Organization structure
LLCProprietary
Incorporated
Feb 22, 2022 in IL
Enrollment address
306 N Larkin Ave
Joliet, IL 60435-6698
Nursing home name
PEARL OF JOLIET, THE
Affiliated entity
PEARL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pearl of Joliet, theCCN 145372 · 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 - Partnership
Certified
Sep 8, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
214135.6 residents per day on average
Chain
Pearl Healthcare15 facilities in the chain
Penalties (3 years)
4Fines totaling $106,223

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
14D2328269Pearl of Joliet306 N Larkin Ave, Joliet, IL 60435Certificate of waiverAug 5, 2027

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, Skokie, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2022 61%
Eitan Zeffren Individual 5% Or Greater Indirect Ownership Interest May 1, 2022 61%
Corporate OfficerManager May 1, 2022
Kushner Family Idf LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2022 8%
PHC Ovj LLC Organization, Lincolnwood, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2022 99%
Reg 2018 Irrevocable Trust U/a/D 1/1/18 Organization, Skokie, IL 5% Or Greater Indirect Ownership Interest May 1, 2022 16%
Kyle Kothera Individual W-2 Managing EmployeeAdministrator May 1, 2022

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1639811383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356698",
            "telephone_number": "815-744-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OF JOLIET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "ZEFFREN",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-744-5560"
    },
    "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.