NPIMap

Organization Active NPI

Goldwater Care Toluca LLC

Doing business as Goldwater Care Toluca

  • Skilled Nursing Facility
  • Toluca, IL
National Provider Identifier
1649021536
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 TOLUCA LLC
Doing business as
Goldwater Care Toluca
Practice address
101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone
(815) 452-2367
NPI assigned
Mar 28, 2024
Last updated
Sep 25, 2025By the provider in NPPES
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

101 E Via Ghiglieri
Toluca, IL 61369-9596

Mailing address

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

Other names 1

  • Goldwater Care Toluca 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
O20240608000188 IL Part A Provider - Skilled Nursing Facility 8527500354 Practice locations: Toluca, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649021536. Details of each certification follow.

Skilled nursing facility certification: CCN 145413

Legal name
GOLDWATER CARE TOLUCA LLC
Doing business as
GOLDWATER CARE TOLUCA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 1, 1980
Last certification
May 2, 2024
Beds
104
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Goldwater Care
Organization structure
LLCProprietary
Incorporated
May 1, 2024 in IL
Enrollment address
101 E Via Ghiglieri
Toluca, IL 61369-9596
Nursing home name
GOLDWATER CARE TOLUCA
Affiliated entity
GOLDWATER CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Goldwater Care TolucaCCN 145413 · 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
For profit - Limited Liability company
Certified
Nov 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10460.1 residents per day on average
Chain
Goldwater Care11 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $0

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 13

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 May 1, 2024 100%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Aaron Tversky Individual 5% Or Greater Direct Ownership Interest May 1, 2024 35%
Corporate OfficerPrincipal May 1, 2024 100%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Meir Katzenstein Individual 5% Or Greater Direct Ownership Interest May 1, 2024 35%
Corporate OfficerPrincipal May 1, 2024 100%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Elizabeth Glynn Individual Operational/Managerial Control May 1, 2024
Managing Control - Governing BodyDirector of Nursing May 1, 2024
Adp of the SNF May 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest May 1, 2024 25%
Adp of the SNF May 1, 2024
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest May 1, 2024 5%
Adp of the SNF May 1, 2024
Goldwater Care Management LLC Organization, Lincolnwood, IL LLC, Management services company, Consulting firm, Chain home office Operational/Managerial Control May 1, 2024
Adp of the SNF Apr 3, 2025
Michael Ahearn Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
101 E. Via Ghiglieri, LLC Organization, Lincolnwood, IL LLC Adp of the SNF Apr 3, 2025
Naftali Wilhelm Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF May 1, 2024
John Jay Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Melissa Anne Stachowiak Individual Managing Control - Governing BodyRegional Director of Operations May 1, 2024
Adp of the SNF May 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

NPI Registry JSON

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": "1649021536",
    "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": "101 E VIA GHIGLIERI",
            "city": "TOLUCA",
            "state": "IL",
            "postal_code": "613699596",
            "telephone_number": "815-452-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE TOLUCA 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 Toluca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toluca, IL

Sources for this page

Verify at the official NPI Registry.