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CALIFORNIA TERRACE SNF LLC

Company Details

Entity Name: CALIFORNIA TERRACE SNF LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 27 Apr 2023
Company Number: LLC_13186413
File Number: 13186413
Type of Management: Manager Managed
Date Status Change: 28 Mar 2024
Address 3531 HOWARD STREET, SUITE 1006, SKOKIE, 60076, IL
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
J3UCAD84SB67 2025-03-11 2829 S CALIFORNIA AVE, CHICAGO, IL, 60608, 5106, USA 3531 HOWARD ST., SKOKIE, IL, 60076, USA

Business Information

Doing Business As CALIFORNIA TERRACE
Congressional District 04
State/Country of Incorporation IL, USA
Activation Date 2024-03-26
Initial Registration Date 2024-03-08
Entity Start Date 2023-04-27
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 623110

Points of Contacts

Electronic Business
Title PRIMARY POC
Name AHARON SINGER
Address 3531 HOWARD STREET, SKOKIE, IL, 60076, USA
Government Business
Title PRIMARY POC
Name AHARON SINGER
Address 3531 HOWARD STREET, SKOKIE, IL, 60076, USA
Past Performance Information not Available

Agent

Name and Address Role Appointment Date
AHARON SINGER, 3531 HOWARD ST STE 1006, SKOKIE, 60076 Agent 2023-04-27

Managing member

Name and Address Role Account Number
Moshe Blonder Managing member 499987
Aharon Singer Managing member 499987

Manager

Name and Address Role Appointment Date
AHARON SINGER, 3531 HOWARD STREET, SUITE 1006, SKOKIE, IL, 60076 Manager 2024-03-28
MOSHE BLONDER, 3531 HOWARD STREET, SUITE 1006, SKOKIE, IL, 60076 Manager 2024-03-28

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2924551 Issued 4404 Regulated Business License 699 - Long Term Care Facility 2024-01-03 2024-01-03 2025-11-15

Inspection

Inspection ID Inspection Type Inspection Date License Facility Type Address Risk Results
2605308 Canvass Re-Inspection 2024-10-24 2924551 Long Term Care 2829 S CALIFORNIA AVE, CHICAGO, IL, 60608 Risk 1 (High) Pass
2604779 Canvass 2024-10-17 2924551 Long Term Care 2829 S CALIFORNIA AVE, CHICAGO, IL, 60608 Risk 1 (High) Fail
2580608 License Re-Inspection 2023-08-23 2924551 Long Term Care 2829 S CALIFORNIA AVE, CHICAGO, IL, 60608 Risk 1 (High) Pass
2580345 License Re-Inspection 2023-08-18 2924551 Long Term Care 2829 S CALIFORNIA AVE, CHICAGO, IL, 60608 Risk 1 (High) Fail
2580174 License 2023-08-16 2924551 Long Term Care 2829 S CALIFORNIA AVE, CHICAGO, IL, 60608 Risk 1 (High) Fail

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CALIFORNIA TERRACE Assumed name 2023-05-01 No data No data No data

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV 36C25224D0075 2024-09-01 No data No data
Unique Award Key CONT_IDV_36C25224D0075_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 796440.00

Description

Title COMMUNITY NURSING HOME SERVICES
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 CALIFORNIA TERRACE SNF, LLC
UEI J3UCAD84SB67
Recipient Address UNITED STATES, 2829 S CALIFORNIA AVE, CHICAGO, COOK, ILLINOIS, 606085106
DELIVERY ORDER AWARD 36C25224K0097 2024-09-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C25224K0097_3600_36C25224D0075_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 17847.76
Current Award Amount 17847.76
Potential Award Amount 17847.76

Description

Title EXPRESS REPORT: 4TH QTR 1358 COSTS REPORTING SEPTEMBER 1, 2024 - 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 CALIFORNIA TERRACE SNF, LLC
UEI J3UCAD84SB67
Recipient Address UNITED STATES, 2829 S CALIFORNIA AVE, CHICAGO, COOK, ILLINOIS, 606085106

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State