| Entity Name: | ELEVATE CARE CHICAGO NORTH, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 16 Nov 2018 |
| Company Number: | LLC_07139713 |
| File Number: | 07139713 |
| Type of Management: | Manager Managed |
| Date Status Change: | 04 Nov 2024 |
| Address | 2451 W. TOUHY, CHICAGO, 60645, IL |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| XWVKZM1X3WY8 | 2024-08-29 | 2451 W TOUHY AVE, CHICAGO, IL, 60645, 3309, USA | 2451 W TOUHY AVE, CHICAGO, IL, 60645, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Division Name | ELEVATE CARE CHICAGO NORTH LLC |
| Division Number | ELEVATE CA |
| Congressional District | 09 |
| Activation Date | 2023-09-13 |
| Initial Registration Date | 2020-12-15 |
| Entity Start Date | 2020-01-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SUPINDA NAGADHANA |
| Role | VA SPECIALIST |
| Address | 4655 W CHASE AVE, LINCOLNWOOD, IL, 60712, USA |
| Title | ALTERNATE POC |
| Name | ETHEL STEINBERG |
| Role | CONTRACTING OFFICER |
| Address | 695 CROSS ST, LAKEWOOD, NJ, 08701, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | HADASSA SPECTOR |
| Role | VICE PRESIDENT OF REVENUE |
| Address | 4655 W CHASE AVE, LINCOLNWOOD, IL, 60712, USA |
| Title | ALTERNATE POC |
| Name | ETHEL STEINBERG |
| Role | CONTRACTING OFFICER |
| Address | 695 CROSS ST, LAKEWOOD, NJ, 08701, USA |
| Past Performance | |
|---|---|
| Title | ALTERNATE POC |
| Name | ETHEL STEINBERG |
| Role | CONTRACTING OFFICER |
| Address | 695 CROSS ST, LAKEWOOD, NJ, 08701, USA |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FREDERICK S FRANKEL, 4655 W CHASE AVE, LINCOLNWOOD, 60712 | Agent | 2022-09-13 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ELEVATE CARE, INC., 4655 W. CHASE, LINCOLNWOOD, IL, 60712 | Manager | 2024-11-04 |
| Name and Address | Role | Account Number |
|---|---|---|
| ELEVATE CARE, INC. | Managing member | 481069 |
| Name and Address | Role | Account Number |
|---|---|---|
| MEIR MEYSTEL | Shareholder | 481069 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2818298 | Issued | 4404 | Regulated Business License | 699 - Long Term Care Facility | 2024-04-16 | 2024-06-16 | 2026-06-15 |
| Inspection ID | Inspection Type | Inspection Date | License | Facility Type | Address | Risk | Results |
|---|---|---|---|---|---|---|---|
| 2602556 | Canvass Re-Inspection | 2024-09-11 | 2818298 | Long Term Care | 2451 W TOUHY AVE, CHICAGO, IL, 60645 | Risk 1 (High) | Pass |
| 2602295 | Canvass | 2024-09-06 | 2818298 | Long Term Care | 2451 W TOUHY AVE, CHICAGO, IL, 60645 | Risk 1 (High) | Pass w/ Conditions |
| 2572102 | Recent Inspection | 2023-03-07 | 2818298 | Long Term Care | 2451 W TOUHY AVE, CHICAGO, IL, 60645 | Risk 1 (High) | Pass |
| 2571046 | Canvass Re-Inspection | 2023-02-09 | 2818298 | Long Term Care | 2451 W TOUHY AVE, CHICAGO, IL, 60645 | Risk 1 (High) | Pass |
| 2570634 | Canvass | 2023-02-02 | 2818298 | Long Term Care | 2451 W TOUHY AVE, CHICAGO, IL, 60645 | Risk 1 (High) | Fail |
| 2554500 | License | 2022-04-19 | 2818298 | Long Term Care | 2451 W TOUHY AVE, CHICAGO, IL, 60645 | Risk 1 (High) | Pass |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C25224K0066 | 2023-10-01 | 2024-09-30 | 2024-09-30 | |||||||||||||||||||||||||
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| Obligated Amount | 363179.48 |
| Current Award Amount | 363179.48 |
| Potential Award Amount | 363179.48 |
Description
| Title | EXPRESS REPORT: FY24 1358 COST REPORTING OCTOBER 1, 2023 -SEPTEMBER 30, 2024 |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | ELEVATE CARE CHICAGO NORTH LLC |
| UEI | XWVKZM1X3WY8 |
| Recipient Address | UNITED STATES, 2451 W TOUHY AVE, CHICAGO, COOK, ILLINOIS, 606453309 |
Date of last update: 27 Jan 2025
