NPIMap

Organization Active NPI

Pearl of Orchard Valley LLC

  • Skilled Nursing Facility
  • Aurora, IL
National Provider Identifier
1922740679
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 ORCHARD VALLEY LLC
Practice address
2330 W Galena Blvd
Aurora, IL 60506-4246
Phone
(630) 896-4686
NPI assigned
Apr 12, 2022
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
(630) 896-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2330 W Galena Blvd
Aurora, IL 60506-4246

Mailing address

2330 W Galena Blvd
Aurora, IL 60506-4246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824003214 IL Part A Provider - Skilled Nursing Facility 5799169793 Practice locations: Aurora, IL

Skilled nursing facility certification: CCN 145473

Legal name
PEARL OF ORCHARD VALLEY LLC
Doing business as
THE PEARL OF ORCHARD VALLEY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1983
Last certification
Mar 21, 2025
Beds
203
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2330 W Galena Blvd
Aurora, IL 60506-4246
Nursing home name
PEARL OF ORCHARD VALLEY
Affiliated entity
PEARL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pearl of Orchard ValleyCCN 145473
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
203131.3 residents per day on average
Chain
Pearl Healthcare15 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
7Fines totaling $542,423

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
14D0420797Pearl of Orchard Valley, the2330 W Galena Blvd, Aurora, IL 60506Certificate of waiverDec 16, 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%
Brittany a Herwig Individual Corporate OfficerManager May 1, 2022
W-2 Managing EmployeeAdministrator May 1, 2022
Eitan Zeffren Individual 5% Or Greater Indirect Ownership InterestManager May 1, 2022 61%
Corporate Officer May 1, 2022
Kushner Family Idf LLC Organization, Lakewood, NJ For-profit 5% Or Greater Indirect Ownership Interest May 1, 2022 16%
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%

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 6

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": "1922740679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064246",
            "telephone_number": "630-896-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OF ORCHARD VALLEY 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": "630-896-4686"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.