| Entity Name: | HERITAGE NURSING HOME, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 28 Jul 1992 |
| Date of Dissolution: | 10 Dec 2021 |
| Company Number: | CORP_56933344 |
| File Number: | 56933344 |
| Type of Business: | Health services – Nursing homes, hospitals, and clinics |
| Date Status Change: | 10 Dec 2021 |
| Address | 5888 N RIDGE AVE, CHICAGO, IL, 60660 |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MS REGISTERED AGENT SERVICES, 191 N WACKER DR STE 1800, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO | Agent | 2009-06-24 |
| Name and Address | Role | Account Number |
|---|---|---|
| DANIEL SHABAT, 6225 W. HOWARDSTREET, NILES, IL 60714 | President | 9025 |
| Name and Address | Role | Account Number |
|---|---|---|
| ARNOLD GASSEL | Secretary | 9025 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2204308 | Issued | 4404 | Regulated Business License | 699 - Long Term Care Facility | 2012-12-29 | 2012-12-29 | 2013-08-15 |
| BUSINESS LICENSE | 21752 | Cancelled | 1005 | Long-Term Care Facility | No data | 2011-08-02 | 2011-08-16 | 2013-08-15 |
| SOCIAL WORKER | 159000363 | No data | No data | REGISTERED SOCIAL WORKER CE SPONSOR | No data | 1993-07-14 | No data | 1997-11-30 |
| Inspection ID | Inspection Type | Inspection Date | License | Facility Type | Address | Risk | Results |
|---|---|---|---|---|---|---|---|
| 1424995 | Canvass | 2015-08-11 | 2204308 | Long Term Care | 5888 N RIDGE AVE, CHICAGO, IL, 60660 | Risk 1 (High) | Out of Business |
| 1424764 | Canvass | 2015-02-06 | 2204308 | Long Term Care | 5888 N RIDGE AVE, CHICAGO, IL, 60660 | Risk 1 (High) | Pass |
| 1215159 | Canvass | 2012-05-25 | 21752 | Long Term Care | 5888 N RIDGE AVE, CHICAGO, IL, 60660 | Risk 1 (High) | Pass w/ Conditions |
| 491664 | Canvass | 2011-02-08 | 21752 | Long Term Care | 5888 N RIDGE AVE, CHICAGO, IL, 60660 | Risk 1 (High) | Pass w/ Conditions |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 180500 | No data |
Date of last update: 13 Jan 2025
