Goldwater Care Princeton LLC
Organization Active NPI Skilled Nursing Facility · Princeton, IL
NPI 1780435677 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1780435677
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GOLDWATER CARE PRINCETON LLC
- Practice address
- 515 S Bureau Valley Pkwy
Princeton, IL 61356-2203 - Phone
- (815) 875-3347
- NPI assigned
- Mar 28, 2024
- Organization subpart
- No
Authorized official
- Name
- Jennifer Spector
- Title
- VP of Revenue Cycle Management
- Phone
- (847) 262-3800
Owners & managing parties with NPI records 1
-
Michael A Ahearn, MD
Corporate family (same tax ID) 1
Facilities with the same owner 42
Medicare Care Compare: Nursing home
- Listed as
- Goldwater Care Princeton
- 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
- Active
- Certified beds
- 92 · 77.1 residents per day on average
- Chain
- Goldwater Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- LLC · Proprietary
- 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
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Spector |
Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Yosef Meystel |
5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 25% |
| Aaron Tversky |
5% Or Greater Direct Ownership Interest |
Aug 1, 2024 | 35% |
| Corporate Officer |
Aug 1, 2024 | 35% | |
| Operational/Managerial Control | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| 515 Bureau Valley Pkwy LLC |
Adp of the SNF | Oct 23, 2025 | |
| Aci Equities, LLC |
Adp of the SNF | Aug 1, 2024 | |
| Hti Investor Group, LLC |
Adp of the SNF | Aug 1, 2024 | |
| CHI Munson |
Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Sahra and Dov Segal |
Adp of the SNF | Aug 1, 2024 | |
| Meir Katzenstein |
5% Or Greater Direct Ownership Interest | Aug 1, 2024 | 35% |
| Corporate Officer |
Aug 1, 2024 | 100% | |
| Operational/Managerial Control | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Jerome Kahan |
Adp of the SNF | Aug 1, 2024 | |
| Robin Miller Revocable Trust |
Adp of the SNF | Aug 1, 2024 | |
| Steven Turofsky |
Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| David Berkowitz |
5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 5% |
| Yosef Meystel Delta Trust |
5% Or Greater Direct Ownership Interest | Aug 1, 2024 | 25% |
| Adp of the SNF | Aug 1, 2024 | ||
| David a Berkowitz Delta Trust |
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 |
Adp of the SNF | Aug 1, 2024 | |
| Goldwater Care Management LLC |
Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Oct 23, 2025 | ||
| Michael Ahearn |
Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Deanna Marie Cox |
Operational/Managerial Control | Aug 1, 2024 | |
| Managing Control - Governing Body |
Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Naftali Wilhelm |
Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Ycd Group, LLC |
Adp of the SNF | Aug 1, 2024 | |
| Taz Equities |
Adp of the SNF | Aug 1, 2024 | |
| Curis Services LLC |
Adp of the SNF | Aug 1, 2024 | |
| Melissa Anne Stachowiak |
Managing Control - Governing Body |
Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240912003304 | IL | Part a Provider - Skilled Nursing Facility | 7810437167 | Practice locations: Princeton, IL |
National Provider Directory
- Tax ID family
- Ability Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
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
- Goldwater Care Princeton
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Princeton, IL
- Gateway Services, Inc
- Gateway Services, Inc
- Jenny Gaworski
- Laurie Christine Gleason
- Goldwater Care Princeton LLC
- Gorenz Counseling and Consulting LTD
- David Gorenz
- Shelley Gorenz
- Gregg E Davis MD LTD
- Sara Elizabeth Grieff
All providers in Princeton, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.