Eden Vista Burr Ridge – Skilled Nursing Facility, NPI 1154182913

Eden Vista Burr Ridge is a healthcare provider. based in Skokie, Illinois. specializing in Skilled Nursing Facility. The NPI Number for Eden Vista Burr Ridge is 1154182913

Main info

Organization
Name
Eden Vista Burr Ridge
NPI
1154182913
Phone
(773) 825-3336
Address
8170 MCCORMICK BLVD STE 112
Authorized Official
MAX STESEL MANAGER
Enumeration Date
18 January 2024
Last Update Date
18 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Eden Vista Burr Ridge

  • 8170 MCCORMICK BLVD STE 112

    SKOKIE, IL 600762914

    Phone: (773) 825-3336

    Type: Mailing

  • 6801 HIGH GROVE BLVD

    BURR RIDGE, IL 605277585

    Phone: (630) 920-2900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240426001262OSkilled Nursing FacilityILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60076)

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Reviews

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Frequently asked questions

What federal number belongs to Eden Vista Burr Ridge?
The federal identifier for Eden Vista Burr Ridge is NPI 1154182913.
Is Eden Vista Burr Ridge's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize Eden Vista Burr Ridge's specialty in plain language?
Clinically, the directory lists Eden Vista Burr Ridge with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where is Eden Vista Burr Ridge's primary listing?
We display Skokie, Illinois because that is what the record indicates for Eden Vista Burr Ridge.
How can I contact Eden Vista Burr Ridge?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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