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BELHAVEN NURSING AND REHABILITATION CENTER, LLC

Company Details

Entity Name: BELHAVEN NURSING AND REHABILITATION CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 29 Mar 2006
Company Number: LLC_01810766
File Number: 01810766
Type of Management: Manager Managed
Date Status Change: 04 Jan 2024
Address 11401 OAKLEY AVE, CHICAGO, 62301, IL
Place of Formation: ILLINOIS

Agent

Name and Address Role Appointment Date
CARRIE DIPAOLO, 240 FENCL LN, HILLSIDE, 60162, COOK-NOT IN CITY OF CHICAGO Agent 2020-05-08

Member

Name and Address Role Account Number
Gubin Enterprises Limited Partnership Member 309193

Managing member

Name and Address Role Account Number
MICHAEL BLISKO Managing member 309193

Manager

Name and Address Role Appointment Date
BLISKO, MICHAEL, 2909 W FITCH AVE, CHICAGO, IL, 60645 Manager 2024-01-04

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2207227 Issued 4404 Regulated Business License 699 - Long Term Care Facility 2021-07-15 2021-07-16 2023-07-15
BUSINESS LICENSE 1743483 Cancelled 1005 Long-Term Care Facility No data 2011-10-25 2011-07-16 2013-07-15

Inspection

Inspection ID Inspection Type Inspection Date License Facility Type Address Risk Results
2605423 Canvass 2024-10-28 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass
2576892 Canvass 2023-06-07 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass
2557181 Canvass 2022-06-13 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass
2523361 Canvass 2021-07-29 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass w/ Conditions
2288277 Canvass Re-Inspection 2019-05-06 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass
2283118 Canvass 2019-04-15 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Fail
2232738 Canvass 2018-11-05 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass
2042243 Canvass 2017-04-24 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass
1674219 Canvass Re-Inspection 2016-05-10 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Pass
1674218 Canvass 2016-05-06 2207227 Long Term Care 11401 S OAKLEY AVE, CHICAGO, IL, 60643 Risk 1 (High) Fail

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State