Haven of Bement, LLC
Organization Active NPI Skilled Nursing Facility · Bement, IL
NPI 1124847264 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1124847264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HAVEN OF BEMENT, LLC
- Practice address
- 601 N Morgan St
Bement, IL 61813-1046 - Phone
- (217) 678-2191
- NPI assigned
- Oct 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Levi Israel
- Title
- Ceo
- Phone
- (847) 905-3000
Owners & managing parties with NPI records 1
-
Asad U. Zaman, M.D.
Facilities with the same owner 17
Medicare Care Compare: Nursing home
- Listed as
- The Haven of Bement.
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 15, 1997
- Medicare certification status
- Active
- Certified beds
- 60 · 37.9 residents per day on average
- Chain
- Haven Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4 · fines totaling $59,232
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145948
- Legal name
- HAVEN OF BEMENT LLC
- Doing business as
- THE HAVEN OF BEMENT
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 15, 1997
- Last certification
- Dec 12, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Extended Care
- Organization structure
- LLC · Proprietary
- Enrollment address
- 601 N Morgan St
Bement, IL 61813-1046 - Nursing home name
- THE HAVEN OF BEMENT.
- Affiliated entity
- HAVEN HEALTHCARE
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Dec 1, 2024 | |
| Christie Cox |
Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Haven Healthcare Holdings LLC |
Direct Ownership Interest | Dec 1, 2024 | 99.99% |
| Indirect Ownership Interest | Dec 1, 2024 | 0.01% | |
| Ecapital Healthcare Corp |
5% Or Greater Security Interest | Dec 1, 2024 | 100% |
| Operational/Managerial Control | Dec 1, 2024 | ||
| |
Adp of the SNF | May 7, 2025 | |
| William Rothner |
Trustee of the SNF | Dec 1, 2024 | |
| David Glat |
Operational/Managerial Control | Dec 1, 2024 | |
| Managing Control - Governing Body |
Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Indirect Ownership Interest | Dec 1, 2024 | 40% | |
| Asad Zaman |
Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Nathan and Shirley Rothner Family Trust |
Indirect Ownership Interest | Dec 1, 2024 | 40% |
| Harold Katz |
Trustee of the SNF | Dec 1, 2024 | |
| |
Adp of the SNF | Dec 1, 2024 | |
| Levi Israel |
Managing Control - Governing Body |
Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Indirect Ownership Interest | Dec 1, 2024 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250317001930 | IL | Part a Provider - Skilled Nursing Facility | 4789106022 | Practice locations: Bement, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
601 N Morgan St
Bement, IL 61813-1046
Mailing address
2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-3220
Other providers in Bement, IL
- Bement Community Unit School
- Bement Hco, LLC
- Bement Hco, LLC
- Margaret Deagman
- Joshua Dwight Gregory
- Lesley Lou Lieb
- Petersen Health Care, Inc
- David Wayne Secrest
All providers in Bement, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.