NPIMap

Organization Active NPI

Goldwater Care Gibson City LLC

  • Skilled Nursing Facility
  • Gibson City, IL
National Provider Identifier
1821782525
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 GIBSON CITY LLC
Practice address
620 E 1St St
Gibson City, IL 60936-1822
Phone
(217) 784-4257
NPI assigned
Jun 6, 2023
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

620 E 1St St
Gibson City, IL 60936-1822

Mailing address

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

Other names 1

  • Goldwater Care Gibson City 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
O20230801000968 IL Part A Provider - Skilled Nursing Facility 0840651360 Practice locations: Gibson City, IL

Skilled nursing facility certification: CCN 145911

Legal name
GOLDWATER CARE GIBSON CITY LLC
Doing business as
GOLDWATER CARE GIBSON CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1996
Last certification
Mar 28, 2025
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Goldwater Care
Most recent change of ownership
Jul 1, 2023
Organization structure
LLCProprietary
Enrollment address
620 E 1St St
Gibson City, IL 60936-1822
Nursing home name
GOLDWATER CARE GIBSON CITY
Affiliated entity
GOLDWATER CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Goldwater Care Gibson CityCCN 145911
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6051.6 residents per day on average
Chain
Goldwater Care11 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $59,827

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 20

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 Jul 1, 2023 100%
Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Dovid Seitler Individual Adp of the SNF Jul 1, 2023
David a Berkowitz Revoc TR David Berkowitz Ttee Organization, Lincolnwood, IL Adp of the SNF Jul 1, 2023
Aaron Tversky Individual 5% Or Greater Direct Ownership InterestPrincipal Jul 1, 2023 35%
Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Mary Hearn Individual Operational/Managerial Control Jul 1, 2023
Managing Control - Governing BodyDirector of Nursing Jul 1, 2023
Adp of the SNF Jul 1, 2023
Meir Katzenstein Individual 5% Or Greater Direct Ownership InterestPrincipal Jul 1, 2023 35%
Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Linda Marie Bane Individual Operational/Managerial Control Jul 1, 2023
Managing Control - Governing BodyAdministrator Jul 1, 2023
Adp of the SNF Jul 1, 2023
Brian Goldfarb Individual Direct Ownership Interest Jul 1, 2023 1%
Steven Turofsky Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
620 E. 1St St., LLC Organization, Lincolnwood, IL LLC Adp of the SNF Mar 19, 2025
Basil Ahmad Ali Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Jul 1, 2023 24.5%
Adp of the SNF Jul 1, 2023
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Jul 1, 2023 10.38%
Adp of the SNF Jul 1, 2023
Goldwater Care Management LLC Organization, Lincolnwood, IL LLC, Management services company, Consulting firm, Chain home office Operational/Managerial Control Jul 1, 2023
Adp of the SNF Mar 19, 2025
Yosef Meystel Declaration of TR of Yosef Meystel Ttee Organization, Lincolnwood, IL Adp of the SNF Jul 1, 2023
Naftali Wilhelm Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Jul 1, 2023
Melissa Anne Stachowiak Individual Managing Control - Governing BodyRegional Director of Operations Jul 1, 2023
Adp of the SNF Jul 1, 2023
Aperion Care Exec Holdings LLC Organization, Lincolnwood, IL LLC Adp of the SNF Jul 1, 2023
Joshua Hoffman Trust Organization, Chicago, IL Adp of the SNF Jul 1, 2023

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1821782525",
    "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": "620 E 1ST ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361822",
            "telephone_number": "217-784-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE GIBSON CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "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 Gibson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gibson City, IL

Sources for this page

Verify at the official NPI Registry.