Goldwater Care Spring Valley LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDWATER CARE SPRING VALLEY LLC

Practice address

1300 N Greenwood St
Spring Valley, IL 61362-1576

Phone

(815) 664-4708

NPI assigned

Mar 28, 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 Spring Valley Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 145486

Legal name

GOLDWATER CARE SPRING VALLEY LLC

Doing business as

GOLDWATER CARE SPRING VALLEY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1984

Last certification

Feb 5, 2025

Beds

98

Ownership / control type

Corporation

Multi-facility organization

Goldwater Care

Most recent change of ownership

May 1, 2024

Organization structure

LLCProprietary

Enrollment address

1300 N Greenwood St
Spring Valley, IL 61362-1576

Nursing home name

GOLDWATER CARE SPRING VALLEY

Affiliated entity

GOLDWATER CARE

Listed as

Goldwater Care Spring ValleyCCN 145486

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9870.1 residents per day on average

Chain

Goldwater Care11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 13

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 10

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

• Goldwater Care Bloomington LLC

  • Skilled Nursing Facility
  • Bloomington, IL
  • NPI 1396439097

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Clinton LLC

  • Skilled Nursing Facility
  • Clinton, IL
  • NPI 1922817162

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Danville LLC

  • Skilled Nursing Facility
  • Danville, IL
  • NPI 1497445910

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Gibson City LLC

  • Skilled Nursing Facility
  • Gibson City, IL
  • NPI 1821782525

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Marseilles LLC

  • Skilled Nursing Facility
  • Marseilles, IL
  • NPI 1255182143

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Peoria Heights LLC

  • Skilled Nursing Facility
  • Peoria Heights, IL
  • NPI 1811724511

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Princeton LLC

  • Skilled Nursing Facility
  • Princeton, IL
  • NPI 1780435677

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Roseville LLC

  • Skilled Nursing Facility
  • Roseville, IL
  • NPI 1245067941

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Care Toluca LLC

  • Skilled Nursing Facility
  • Toluca, IL
  • NPI 1649021536

  Goldwater Care Management LLC

  CMS ownership
• Goldwater Pontiac Nursing Home LLC

  • Skilled Nursing Facility
  • Pontiac, IL
  • NPI 1184345928

  Goldwater Care Management LLC

  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": "1588415475",
    "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": "1300 N GREENWOOD ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621576",
            "telephone_number": "815-664-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE SPRING VALLEY 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 Spring Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen L Eggers, FNP-BC
• Epss North Region LLC
• Opella Finley Ernest, MD
• Eyesite-Illinois Valley, LLC
• Deana Marie Giacalone
• Goldwater Care Spring Valley LLC
• Christine M. Greene, FNP
• Jennifer Gunness, RD, LDN, CNSC
• Kati Jean Hagenbuch, MA, CCC-SLP/L
• Hall Township HS Dist 502

• Skilled Nursing Facility in Spring Valley, IL
• Providers in Spring Valley, 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.