Goldwater Care Marseilles LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDWATER CARE MARSEILLES LLC

Doing business as

Goldwater Care Marseilles

Practice address

578 Commercial St
Marseilles, IL 61341-1814

Phone

(815) 795-5121

NPI assigned

Mar 28, 2024

Last updated

Sep 25, 2025By the provider in NPPES

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 Marseilles Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255182143. Details of each certification follow.

• CCN 145295 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145295

Legal name

GOLDWATER CARE MARSEILLES LLC

Doing business as

GOLDWATER CARE MARSEILLES

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1976

Last certification

Jun 14, 2024

Beds

103

Ownership / control type

Hospital District

Multi-facility organization

Aperion Care

Most recent change of ownership

Aug 1, 2024

Organization structure

LLCProprietary

Incorporated

Aug 1, 2024 in IL

Enrollment address

578 Commercial St
Marseilles, IL 61341-1814

Nursing home name

GOLDWATER CARE MARSEILLES

Affiliated entity

GOLDWATER CARE

Listed as

Goldwater Care MarseillesCCN 145295 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - Hospital district

Certified

Jul 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10356.8 residents per day on average

Chain

Goldwater Care11 facilities in the chain

Penalties (3 years)

3Fines totaling $227,365

Processed by Care Compare on Aug 1, 2026.

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 Marseilles LLC

  dba Goldwater Care Marseilles

  • Durable Medical Equipment & Medical Supplies
  • Marseilles, IL
  • NPI 1316798200
  NPD tax ID

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 1

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

• Mohammed Siddiqui

  • Internal Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1275917957

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 42

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

• Aperion Care Elgin LLC

  • Skilled Nursing Facility
  • Elgin, IL
  • NPI 1447623426

  David a Berkowitz Delta Trust

  CMS ownership
• Aperion Care Fairmont LLC

  dba Alta Rehab at Fairmont

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1760254411

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Aperion Care Fox River LLC

  dba Aperion Care Fox River

  • Skilled Nursing Facility
  • Elgin, IL
  • NPI 1588353478

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Aperion Care Oak Brook LLC

  dba Alta at Oak Brook

  • Skilled Nursing Facility
  • Oak Brook, IL
  • NPI 1467224121

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Aperion Care Wauconda LLC

  dba Alta Rehab at Wauconda

  • Skilled Nursing Facility
  • Wauconda, IL
  • NPI 1568234219

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Aperion Care West Chicago LLC

  dba Aperion Care West Chicago

  • Skilled Nursing Facility
  • West Chicago, IL
  • NPI 1285144360

  David a Berkowitz Delta Trust

  CMS ownership
• Aperion Care Westchester LLC

  dba Aperion Care Westchester

  • Skilled Nursing Facility
  • Westchester, IL
  • NPI 1497346415

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Arc at Bradley LLC

  dba Arc at Bradley

  • Skilled Nursing Facility
  • Bradley, IL
  • NPI 1629829619

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Arc at Kankakee LLC

  dba Arc at Kankakee

  • Skilled Nursing Facility
  • Kankakee, IL
  • NPI 1538055512

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Arcadia Care Aledo LLC

  dba Arcadia Care Aledo

  • Skilled Nursing Facility
  • Aledo, IL
  • NPI 1568299295

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Arcadia Care Havana LLC

  dba Arcadia Care Havana

  • Skilled Nursing Facility
  • Havana, IL
  • NPI 1962239475

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership
• Arcadia Care Kewanee LLC

  dba Arcadia Care Kewanee

  • Skilled Nursing Facility
  • Kewanee, IL
  • NPI 1982431615

  David a Berkowitz Delta Trust, Yosef Meystel Delta Trust

  CMS ownership

Affiliated clinicians 1

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

• Mohammed Siddiqui

  • Internal Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1275917957

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1255182143",
    "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": "578 COMMERCIAL ST",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613411814",
            "telephone_number": "815-795-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE MARSEILLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "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 Marseilles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Marseilles, IL
• Providers in Marseilles, IL by specialty
• Skilled Nursing Facility 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.