NPIMap

Organization Active NPI

Haven of Bement, LLC

  • Skilled Nursing Facility
  • Bement, IL
National Provider Identifier
1124847264
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Levi Israel
Title
Ceo
Phone
(847) 905-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250317001930 IL Part A Provider - Skilled Nursing Facility 4789106022 Practice locations: Bement, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124847264. Details of each certification follow.

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
LLCProprietary
Enrollment address
601 N Morgan St
Bement, IL 61813-1046
Nursing home name
THE HAVEN OF BEMENT.
Affiliated entity
HAVEN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Haven of Bement.CCN 145948 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
6037.9 residents per day on average
Chain
Haven Healthcare7 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $59,232

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, San Clemente, CA Adp of the SNF Dec 1, 2024
Christie Cox Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Haven Healthcare Holdings LLC Organization, Evanston, IL LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Dec 1, 2024 99.99%
Indirect Ownership Interest Dec 1, 2024 0.01%
Ecapital Healthcare Corp Organization, Aventura, FL Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Organization, Skokie, IL LLC, Holding company Adp of the SNF May 7, 2025
William Rothner Individual Trustee of the SNF Dec 1, 2024
David Glat Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyManager Dec 1, 2024
Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 40%
Asad Zaman Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Nathan and Shirley Rothner Family Trust Organization, Evanston, IL Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 40%
Harold Katz Individual Trustee of the SNF Dec 1, 2024
Organization, San Clemente, CA Corporation, Real estate investment trust (REIT) Adp of the SNF Dec 1, 2024
Levi Israel Individual Managing Control - Governing BodyMedicare Authorized Official Dec 1, 2024
Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 20%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1124847264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021519",
            "telephone_number": "847-905-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MORGAN ST",
            "city": "BEMENT",
            "state": "IL",
            "postal_code": "618131046",
            "telephone_number": "217-678-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF BEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bement, IL

Sources for this page

Verify at the official NPI Registry.