NPIMap

Organization Active NPI

Generations at Oakton Pavillion, LLC

  • Skilled Nursing Facility
  • Des Plaines, IL
National Provider Identifier
1992104780
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GENERATIONS AT OAKTON PAVILLION, LLC
Practice address
1660 Oakton PL
Des Plaines, IL 60018-2045
Phone
(847) 299-5588
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Mr. Thomas Winter
Title
Cfo
Phone
(847) 675-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1660 Oakton PL
Des Plaines, IL 60018-2045

Mailing address

1660 Oakton PL
Des Plaines, IL 60018-2045
Phone (847) 299-5588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001002226 IL Part A Provider - Skilled Nursing Facility 0941420699 Practice locations: Des Plaines, IL

Skilled nursing facility certification: CCN 145626

Legal name
GENERATIONS AT OAKTON PAVILLION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 21, 1989
Last certification
Aug 22, 2024
Beds
294 (275 certified)
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 1, 2014
Organization structure
LLCProprietary
Incorporated
Sep 1, 2014 in IL
Enrollment address
1660 Oakton PL
Des Plaines, IL 60018-2045
Nursing home name
ELEVATE CARE DES PLAINES
Affiliated entity
ELEVATE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elevate Care Des PlainesCCN 145626
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 21, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200107.2 residents per day on average
Chain
Elevate Care14 facilities in the chain
Penalties (3 years)
8Fines totaling $248,079

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Generations at Oakton Pavillion3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Generations HC Network Organization, Lincolnwood, IL Corporation Other Sep 1, 2014
Mary Gesualdo Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 8%
Joseph G Javier Individual W-2 Managing EmployeeAdministrator Oct 4, 2017
Barrish Group Limited Partnership Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Sep 1, 2014 16%
Ralph Gesualdo Individual 5% Or Greater Direct Ownership Interest Sep 1, 2014 8%
David Kozin Individual 5% Or Greater Direct Ownership Interest Sep 1, 2014 9%
Juliana R Barrish Individual 5% Or Greater Direct Ownership Interest Jan 1, 2015 16%
Burton B Barrish Individual 5% Or Greater Direct Ownership Interest Sep 1, 2014 10%
Renee Kozin Individual 5% Or Greater Direct Ownership Interest Sep 1, 2014 9%
Thomas Winter Individual Corporate OfficerManager/Chief Financial Officer Sep 1, 2014
Louise Bergthold Individual Corporate OfficerSenior Vice President Sir Manage Sep 1, 2014

Facilities with the same owner 4

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

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": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1992104780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 OAKTON PL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182045",
            "telephone_number": "847-299-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 OAKTON PL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182045",
            "telephone_number": "847-299-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS AT OAKTON PAVILLION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-675-7979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.