NPIMap

Organization Active NPI

Goldwater Care Clinton LLC

Doing business as Goldwater Care Clinton

  • Skilled Nursing Facility
  • Clinton, IL
National Provider Identifier
1922817162
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 CLINTON LLC
Doing business as
Goldwater Care Clinton
Practice address
1 Park LN W
Clinton, IL 61727-2637
Phone
(217) 935-8500
NPI assigned
Jan 2, 2025
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 NU Primary

Addresses

Primary practice location

1 Park LN W
Clinton, IL 61727-2637

Mailing address

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

Other names 1

  • Goldwater Care Clinton 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
O20250618003109 IL Part A Provider - Skilled Nursing Facility 9739690488 Practice locations: Clinton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922817162. Details of each certification follow.

Skilled nursing facility certification: CCN 146076

Legal name
GOLDWATER CARE CLINTON LLC
Doing business as
GOLDWATER CARE CLINTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 2, 2005
Last certification
Dec 5, 2024
Beds
134
Ownership / control type
Corporation
Multi-facility organization
Goldwater Care
Organization structure
LLCProprietary
Enrollment address
1 Park LN W
Clinton, IL 61727-2637
Nursing home name
GOLDWATER CARE CLINTON
Affiliated entity
GOLDWATER CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Goldwater Care ClintonCCN 146076 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 2, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
134107.2 residents per day on average
Chain
Goldwater Care11 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $336,424

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 15

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 Mar 1, 2024 100%
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Aaron Tversky Individual 5% Or Greater Direct Ownership InterestPrincipal Mar 1, 2024 33.13%
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Farrukh a Kureishy Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Meir Katzenstein Individual 5% Or Greater Direct Ownership InterestPrincipal Mar 1, 2024 33.13%
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Ryan Rissman Individual Operational/Managerial Control Mar 1, 2024
Managing Control - Governing BodyDirector of Nursing Mar 1, 2024
Adp of the SNF Mar 1, 2024
Steven Turofsky Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Mar 1, 2024 23.75%
Adp of the SNF Mar 1, 2024
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Mar 1, 2024 5%
Adp of the SNF Mar 1, 2024
Christine a Banks Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Goldwater Care Management LLC Organization, Lincolnwood, IL LLC, Management services company, Consulting firm, Chain home office Operational/Managerial Control Mar 1, 2024
Adp of the SNF Apr 23, 2025
Naftali Wilhelm Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Mar 1, 2024
Melissa Anne Stachowiak Individual Managing Control - Governing BodyRegional Director of Operations Mar 1, 2024
Adp of the SNF Mar 1, 2024
1 Park Lane West, LLC Organization, Lincolnwood, IL LLC Adp of the SNF Apr 23, 2025
Joshua Hoffman Trust Organization, Chicago, IL 5% Or Greater Direct Ownership Interest Mar 1, 2024 5%
Adp of the SNF Mar 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 44

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 44

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1922817162",
    "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": "1 PARK LN W",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272637",
            "telephone_number": "217-935-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWATER CARE CLINTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "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": "NU",
            "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 Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IL

Sources for this page

Verify at the official NPI Registry.