| Entity Name: | MAYFIELD CARE CENTER, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 28 Dec 1984 |
| Date of Dissolution: | 14 May 2021 |
| Company Number: | CORP_53692982 |
| File Number: | 53692982 |
| Type of Business: | Business Corporations |
| Date Status Change: | 14 May 2021 |
| Address | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NESANEL DAVIS, 4600 W TOUHY AVE STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO | Agent | 2017-11-15 |
| Name and Address | Role | Account Number |
|---|---|---|
| YOSEF DAVIS, 3540 W THORNDALE, CHICAGO, 60659 | President | 9030 |
| Name and Address | Role | Account Number |
|---|---|---|
| EDIE DAVIS | Secretary | 9030 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2204309 | Issued | 4404 | Regulated Business License | 699 - Long Term Care Facility | 2015-05-15 | 2015-05-16 | 2017-05-15 |
| BUSINESS LICENSE | 21761 | Cancelled | 1005 | Long-Term Care Facility | No data | 2011-05-06 | 2011-05-16 | 2013-05-15 |
| Inspection ID | Inspection Type | Inspection Date | License | Facility Type | Address | Risk | Results |
|---|---|---|---|---|---|---|---|
| 2185192 | Canvass | 2018-07-27 | 2204309 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Out of Business |
| 2102222 | Canvass | 2017-10-19 | 2204309 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass w/ Conditions |
| 1965780 | Canvass | 2016-10-04 | 2204309 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| 1621359 | Canvass | 2016-01-29 | 2204309 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass w/ Conditions |
| 1520236 | Canvass | 2015-07-06 | 2204309 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| 1300747 | Complaint | 2012-12-04 | 21761 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| 505310 | Canvass | 2011-04-07 | 21761 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| 470083 | Canvass | 2010-12-03 | 21761 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| THE MOSAIC OF MAYFIELD | No data | 2016-02-29 | 2021-05-01 | Involuntary Cancellation | No data |
| MAYFIELD A MOSAIC HEALTHCARE & REHABILITATION CENTRE | No data | 2015-08-14 | 2021-05-01 | Involuntary Cancellation | No data |
| MAYFIELD HEALTHCARE AND REHABILITATION CENTRE | No data | 2012-11-14 | 2021-05-01 | Involuntary Cancellation | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100000 | 10000000 | No data |
Date of last update: 23 Dec 2024
