Goldwater Care Peoria Heights LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOLDWATER CARE PEORIA HEIGHTS LLC

Doing business as

Goldwater Care Peoria Heights

Practice address

5533 N Galena Rd
Peoria, IL 61616-4447

Phone

(309) 682-5428

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Spector

Title

VP of Revenue Cycle Management

Phone

(847) 262-3800

Specialties & licenses 1

Addresses

Other names 1

• Goldwater Care Peoria Heights Doing business as

Electronic endpoints 1

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goldwater Care Peoria Heights LLC

  dba Goldwater Care Peoria Heights

  • Skilled Nursing Facility
  • Peoria Heights, IL
  • NPI 1811724511
  NPD tax ID

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1174350870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 W CHASE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121605",
            "telephone_number": "847-262-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 N GALENA RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616164447",
            "telephone_number": "309-682-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE PEORIA HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "847-262-3800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Goldwater Care Peoria Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Gold, MD
• Daniel Edward Goldenberg, MD
• Stephen Lewis Goldman, MD
• Gabrielle Goldsberry
• Kelly Goldsmith, DO
• Joan Golemon, MD
• Thomas Golemon, MD
• Jane A. Golowski, R.N.
• Patrick L. Gomez, MD
• Scott A Gonia, ACNS-BC

• Durable Medical Equipment & Medical Supplies in Peoria, IL
• Providers in Peoria, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.