Active NPI
Pearl of Rolling Meadows LLC
- Skilled Nursing Facility
- Rolling Meadows, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PEARL OF ROLLING MEADOWS LLC
- Practice address
- 4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005 - Phone
- (847) 397-2400
- NPI assigned
- Sep 4, 2018
- Last updated
- Dec 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eitan Zeffren
- Title
- Manager
- Phone
- (847) 397-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005
Mailing address
4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005
Phone (847) 397-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181109002518 | IL | Part A Provider - Skilled Nursing Facility | 1759635774 | Practice locations: Rolling Meadows, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871075010. Details of each certification follow.
Skilled nursing facility certification: CCN 145350
- Legal name
- PEARL OF ROLLING MEADOWS LLC
- Doing business as
- THE PEARL OF ROLLING MEADOWS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 7, 1977
- Last certification
- Mar 27, 2025
- Beds
- 155
- Ownership / control type
- Individual
- Most recent change of ownership
- Nov 1, 2018
- Organization structure
- LLC
- Enrollment address
- 4225 Kirchoff Road
Rolling Meadows, IL 60008-2005 - Nursing home name
- PEARL OF ROLLING MEADOWS,THE
- Affiliated entity
- PEARL HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pearl of Rolling Meadows,the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 7, 1977
- Medicare certification status
- Active
- Certified beds
- 155
- Chain
- Pearl Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1043579 | Pearl of Rolling Meadows, L L C | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Meyer Magence | 5% Or Greater Direct Ownership Interest | Nov 5, 2018 | 5% |
| Kathryn Berg | W-2 Managing Employee | Nov 1, 2018 | |
| Joezee Meadows LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 6.25% |
| Eitan Zeffren | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 60% |
| Corporate Officer | Nov 1, 2018 | ||
| Kushner Family Idf LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 6.25% |
| Benjamin Halberstam | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 5% |
| Reg 2018 Irrevocable Trust U/a/D 1/1/18 | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 6.25% |
| Michele Schmidt | W-2 Managing Employee | Nov 1, 2018 |
Facilities with the same owner 13
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Crystal Lake, IL
- NPI 1902566185
Kushner Family Idf LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Elgin, IL
- NPI 1669246500
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Elk Grove Village, IL
- NPI 1023722105
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Evanston, IL
- NPI 1417647157
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Hillside, IL
- NPI 1952996142
Kushner Family Idf LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Hinsdale, IL
- NPI 1003520180
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Joliet, IL
- NPI 1639811383
Kushner Family Idf LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1548974629
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
dba The Pearl of Naperville
- Skilled Nursing Facility
- Naperville, IL
- NPI 1265054001
Kushner Family Idf LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Aurora, IL
- NPI 1922740679
Kushner Family Idf LLC, Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- Oswego, IL
- NPI 1609566348
Reg 2018 Irrevocable Trust U/a/D 1/1/18
-
- Skilled Nursing Facility
- St Charles, IL
- NPI 1912771858
Reg 2018 Irrevocable Trust U/a/D 1/1/18
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1811164916
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544054400000",
"number": "1871075010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 KIRCHOFF RD",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600082005",
"telephone_number": "847-397-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 KIRCHOFF RD",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600082005",
"telephone_number": "847-397-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL OF ROLLING MEADOWS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-04",
"last_updated": "2018-12-06",
"status": "A",
"authorized_official_last_name": "ZEFFREN",
"authorized_official_first_name": "EITAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-397-2400"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.