NPIMap

Organization Active NPI

Goldwater Care Roseville LLC

  • Skilled Nursing Facility
  • Roseville, IL
National Provider Identifier
1245067941
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GOLDWATER CARE ROSEVILLE LLC
Practice address
145 S Chamberlain St
Roseville, IL 61473-9581
Phone
(309) 691-8113
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

145 S Chamberlain St
Roseville, IL 61473-9581

Mailing address

4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800

Other names 1

  • Goldwater Care Roseville Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251003003318 IL Part A Provider - Skilled Nursing Facility 4981100294 Practice locations: Roseville, IL

Skilled nursing facility certification: CCN 146020

Legal name
GOLDWATER CARE ROSEVILLE LLC
Doing business as
GOLDWATER CARE ROSEVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2002
Last certification
Mar 7, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Goldwater Care
Most recent change of ownership
Dec 1, 2024
Organization structure
LLCProprietary
Enrollment address
145 S Chamberlain St
Roseville, IL 61473-9581
Nursing home name
GOLDWATER CARE ROSEVILLE
Affiliated entity
GOLDWATER CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Goldwater Care RosevilleCCN 146020
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9938.9 residents per day on average
Chain
Goldwater Care11 facilities in the chain
Penalties (3 years)
3Fines totaling $138,664

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
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.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jennifer Spector Individual Corporate OfficerChief Revenue Officer Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Petersen SNF Holdings LLC Organization, Skokie, IL LLC Adp of the SNF Mar 4, 2025
Aaron Tversky Individual 5% Or Greater Direct Ownership InterestPrincipal Dec 1, 2024 35%
Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyPrincipal Dec 1, 2024
Adp of the SNF Dec 1, 2024
Meir Katzenstein Individual 5% Or Greater Direct Ownership InterestPrincipal Dec 1, 2024 35%
Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyPrincipal Dec 1, 2024
Adp of the SNF Dec 1, 2024
Steven Turofsky Individual Operational/Managerial Control Dec 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 25%
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 5%
Mayra Arteaga Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyAdministrator Dec 1, 2024
Adp of the SNF Dec 1, 2024
Goldwater Care Management LLC Organization, Lincolnwood, IL Management services company, Consulting firm, Chain home office Operational/Managerial Control Dec 1, 2024
Adp of the SNF Mar 4, 2025
James R Battenburg Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyMedical Director Dec 1, 2024
Adp of the SNF Dec 1, 2024
Alisha Walters Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Naftali Wilhelm Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Dec 1, 2024
Melissa Anne Stachowiak Individual Corporate OfficerRegional Director of Operations Dec 1, 2024 100%
Adp of the SNF Dec 1, 2024

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 42

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

View all 42

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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": "1245067941",
    "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": "145 S CHAMBERLAIN ST",
            "city": "ROSEVILLE",
            "state": "IL",
            "postal_code": "614739581",
            "telephone_number": "309-691-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE ROSEVILLE 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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "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 Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, IL

Sources for this page

Verify at the official NPI Registry.