Organization Active NPI

Goldwater Care Princeton LLC

Doing business as Goldwater Care Princeton

  • Skilled Nursing Facility
  • Princeton, IL
National Provider Identifier
1780435677
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 PRINCETON LLC
Doing business as
Goldwater Care Princeton
Practice address
515 S Bureau Valley Pkwy
Princeton, IL 61356-2203
Phone
(815) 875-3347
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

515 S Bureau Valley Pkwy
Princeton, IL 61356-2203

Mailing address

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

Other names 1

  • Goldwater Care Princeton 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
O20240912003304 IL Part A Provider - Skilled Nursing Facility 7810437167 Practice locations: Princeton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780435677. Details of each certification follow.

Skilled nursing facility certification: CCN 145437

Legal name
GOLDWATER CARE PRINCETON LLC
Doing business as
GOLDWATER CARE PRINCETON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 28, 1982
Last certification
Jun 13, 2024
Beds
92
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 1, 2024 in IL
Enrollment address
515 S Bureau Valley Pkwy
Princeton, IL 61356-2203
Nursing home name
GOLDWATER CARE PRINCETON
Affiliated entity
GOLDWATER CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Goldwater Care PrincetonCCN 145437 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 28, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9277.1 residents per day on average
Chain
Goldwater Care11 facilities in the chain

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 24

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 Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Yosef Meystel Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 25%
Aaron Tversky Individual 5% Or Greater Direct Ownership InterestPrincipal Aug 1, 2024 35%
Corporate OfficerPrincipal Aug 1, 2024 35%
Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
515 Bureau Valley Pkwy LLC Organization, Lincolnwood, IL LLC Adp of the SNF Oct 23, 2025
Aci Equities, LLC Organization, Lincolnwood, IL LLC Adp of the SNF Aug 1, 2024
Hti Investor Group, LLC Organization, Lincolnwood, IL LLC Adp of the SNF Aug 1, 2024
CHI Munson Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Sahra and Dov Segal Organization, Chicago, IL Adp of the SNF Aug 1, 2024
Meir Katzenstein Individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 35%
Corporate OfficerPrincipal Aug 1, 2024 100%
Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Jerome Kahan Individual Adp of the SNF Aug 1, 2024
Robin Miller Revocable Trust Organization, Boynton Beach, FL Adp of the SNF Aug 1, 2024
Steven Turofsky Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
David Berkowitz Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 5%
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Aug 1, 2024 25%
Adp of the SNF Aug 1, 2024
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Aug 1, 2024 5%
Adp of the SNF Aug 1, 2024
Jack Yolinsky Revocable Trust Agreement Dated 2/18/11 Organization, Big Canoe, GA Adp of the SNF Aug 1, 2024
Goldwater Care Management LLC Organization, Lincolnwood, IL LLC, Management services company, Consulting firm, Chain home office Operational/Managerial Control Aug 1, 2024
Adp of the SNF Oct 23, 2025
Michael Ahearn Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Deanna Marie Cox Individual Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodyDirector of Nursing Aug 1, 2024
Adp of the SNF Aug 1, 2024
Naftali Wilhelm Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Ycd Group, LLC Organization, Chicago, IL LLC Adp of the SNF Aug 1, 2024
Taz Equities Organization, Lakewood, NJ LLC Adp of the SNF Aug 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC Adp of the SNF Aug 1, 2024
Melissa Anne Stachowiak Individual Managing Control - Governing BodyRegional Director of Operations Aug 1, 2024
Adp of the SNF Aug 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": "1780435677",
    "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": "515 S BUREAU VALLEY PKWY",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562203",
            "telephone_number": "815-875-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE PRINCETON 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 Princeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, IL

Sources for this page

Verify at the official NPI Registry.