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Organization Active NPI

Goldwater Care Peoria Heights LLC

Doing business as Goldwater Care Peoria Heights

  • Skilled Nursing Facility
  • Peoria Heights, IL
National Provider Identifier
1811724511
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 PEORIA HEIGHTS LLC
Doing business as
Goldwater Care Peoria Heights
Practice address
5533 N Galena Rd
Peoria Heights, IL 61616-4447
Phone
(309) 682-5428
NPI assigned
Sep 17, 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

5533 N Galena Rd
Peoria Heights, IL 61616-4447

Mailing address

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

Other names 1

  • Goldwater Care Peoria Heights 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
O20250429002424 IL Part A Provider - Skilled Nursing Facility 5890211213 Practice locations: Peoria Heights, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811724511. Details of each certification follow.

Skilled nursing facility certification: CCN 145239

Legal name
GOLDWATER CARE PEORIA HEIGHTS LLC
Doing business as
GOLDWATER CARE PEORIA HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 2, 1972
Last certification
Oct 1, 2024
Beds
98 (94 certified)
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
5533 N Galena Rd
Peoria Heights, IL 61616-4447
Nursing home name
GOLDWATER CARE PEORIA HEIGHTS
Affiliated entity
GOLDWATER CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Goldwater Care Peoria HeightsCCN 145239 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 2, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9456.5 residents per day on average
Chain
Goldwater Care11 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
4Fines totaling $527,947

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 14

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 DirectorChief Revenue Officer Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Petersen SNF Holdings LLC Organization, Skokie, IL LLC Adp of the SNF Mar 19, 2025
Aaron Tversky Individual 5% Or Greater Direct Ownership InterestPrincipal Dec 1, 2024 35%
Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyPrincipal Dec 1, 2024
Adp of the SNF Dec 1, 2024
Jason Stewart Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyAdministrator Dec 1, 2024
Adp of the SNF Dec 1, 2024
Meir Katzenstein Individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 35%
Steven Turofsky Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
David Berkowitz Individual Trustee of the SNF Dec 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 25%
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 5%
Goldwater Care Management LLC Organization, Lincolnwood, IL LLC, Management services company, Consulting firm, Chain home office Operational/Managerial Control Dec 1, 2024
Adp of the SNF Mar 19, 2025
Michael Ahearn Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Naftali Wilhelm Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Dec 1, 2024
Melissa Anne Stachowiak Individual Managing Control - Governing BodyRegional Director of Operations Dec 1, 2024
Adp of the SNF Dec 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": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1811724511",
    "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": "5533 N GALENA RD",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616164447",
            "telephone_number": "309-682-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE PEORIA HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "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 Peoria Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria Heights, IL

Sources for this page

Verify at the official NPI Registry.