OrganizationActive
East Bank Center LLC
NPI 1124173844 · Skilled Nursing Facility · Loves Park, IL
Provider details
- NPI number
- 1124173844
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Edna Lopez, Administrator(815) 633-6810
- License
- 0047209 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6131 Park Ridge Rd
Loves Park, IL 61111-4029
Phone: (815) 633-6810
Fax: (815) 633-5095
Street-level locationGet directions
Mailing address
12040 Raymond Ct
Huntley, IL 60142-8069
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2011-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.