| Entity Name: | MAYFIELD CARE AND REHABILITATION CENTER LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 17 Mar 2021 |
| Company Number: | LLC_09480943 |
| File Number: | 09480943 |
| Type of Management: | Manager Managed |
| Date Status Change: | 30 Jan 2024 |
| Address | 1730 NJ-37 WEST, TOMS RIVER, 08757, NJ |
| Place of Formation: | DELAWARE |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WXJZPKGKPD76 | 2024-09-27 | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644, 2845, USA | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644, 2845, USA | |||||||||||||||||||||||||||||||||||
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| Congressional District | 07 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-09-29 |
| Initial Registration Date | 2021-10-14 |
| Entity Start Date | 2021-06-29 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ESTHER BURNETT |
| Address | 5905 W. WASHINGTON BLVD, CHICAGO, IL, 60644, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ESTHER BURENTT |
| Address | 5905 W. WASHINGTON BLVD, CHICAGO, IL, 60644, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON | Agent | 2021-12-21 |
| Name and Address | Role | Account Number |
|---|---|---|
| YOSEF HELMAN | Member | 492219 |
| Name and Address | Role | Account Number |
|---|---|---|
| NISANEL SILVERBERG | Managing member | 492219 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SILVERBERG, NISANEL, 1730 NJ-37 WEST, TOMS RIVER, NJ, 08757 | Manager | 2024-01-30 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2882223 | Issued | 4404 | Regulated Business License | 699 - Long Term Care Facility | 2022-12-21 | 2022-12-21 | 2025-01-15 |
| Inspection ID | Inspection Type | Inspection Date | License | Facility Type | Address | Risk | Results |
|---|---|---|---|---|---|---|---|
| 2593796 | Canvass | 2024-05-02 | 2882223 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| 2581982 | Canvass | 2023-09-19 | 2882223 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| 2568650 | License | 2022-12-16 | 2882223 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Pass |
| 2568183 | License | 2022-12-07 | 2882223 | Long Term Care | 5905 W WASHINGTON BLVD, CHICAGO, IL, 60644 | Risk 1 (High) | Not Ready |
Date of last update: 20 Jan 2025
