| Entity Name: | CARLTON SKILLED NURSING FACILITY, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 14 Oct 2015 |
| Company Number: | LLC_05469201 |
| File Number: | 05469201 |
| Type of Management: | Manager Managed |
| Date Status Change: | 10 Sep 2024 |
| Address | 3450 OAKTON STREET, SKOKIE, 60076, IL |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| URQ2CAN2AAK9 | 2024-08-31 | 3450 OAKTON ST, SKOKIE, IL, 60076, 2951, USA | 3450 OAKTON STREET, SKOKIE, IL, 60076, USA | |||||||||||||||||||||||||||||||||||
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| Congressional District | 09 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-09-05 |
| Initial Registration Date | 2021-09-14 |
| Entity Start Date | 2015-11-09 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ANNA HINTZ |
| Address | 3450 OAKTON STREET, SKOKIE, IL, 60076, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ANNA HINTZ |
| Address | 3450 OAKTON STREET, SKOKIE, IL, 60076, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON | Agent | 2016-05-12 |
| Name and Address | Role | Account Number | Appointment Date |
|---|---|---|---|
| LEGACY HEALTHCARE FINANCIAL SERVICES, LLC, 3450 OAKTON STREET, SKOKIE, IL, 60076 | Manager | No data | 2024-09-10 |
| Legacy Healthcare Financial Services, LLC | Manager | 407103 | No data |
| Name and Address | Role | Account Number |
|---|---|---|
| Daniel S Garden | Other | 407103 |
| Name and Address | Role | Account Number |
|---|---|---|
| GPN Family Trust | Member | 407103 |
| Menachem & Ahuva Shabat Descendants Trust | Member | 407103 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2470105 | Issued | 4404 | Regulated Business License | 699 - Long Term Care Facility | 2022-11-16 | 2023-01-16 | 2025-01-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| THE CARLTON HEALTHCARE & REHABILITATION CENTRE | Assumed name | 2018-10-24 | No data | No data | 2020-11-20 |
| THE CARLTON | Assumed name | 2017-05-04 | No data | No data | 2020-11-20 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 344878822 | 0524200 | 2020-08-13 | 725 WEST MONTROSE AVE, CHICAGO, IL, 60613 | |||||||||||||||||||||||||
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| Type | Referral |
| Activity Nr | 1628156 |
| Health | Yes |
| Type | Accident |
| Activity Nr | 1626972 |
| Inspection Type | Fat/Cat |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2020-10-05 |
| Case Closed | 2020-09-30 |
Related Activity
| Type | Referral |
| Activity Nr | 1628156 |
| Health | Yes |
| Type | Accident |
| Activity Nr | 1643142 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2148527809 | 2020-05-22 | 0507 | PPP | 725 W Montrose, CHICAGO, IL, 60613 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Mar 2025
