GOLDWATER CARE DANVILLE LLC
NPI 1114617636
Durable Medical Equipment & Medical Supplies in Danville, IL

Active since May 09, 2023CLIA 14D2287749 · Waiver
620 WARRINGTON AVE, DANVILLE, IL 61832(217) 446-0660 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Goldwater Care Danville Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDWATER CARE DANVILLE LLC (NPI 1114617636), doing business as Goldwater Care Danville, is a healthcare organization registered as a durable medical equipment & medical supplies in Danville, Illinois and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1114617636
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGOLDWATER CARE DANVILLE LLC
Location Address620 WARRINGTON AVEDanville, IL 61832-5446
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800
Organization SubpartNo
Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800
Enumeration DateMay 9, 2023
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1114617636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

620 WARRINGTON AVE, Danville, IL 61832

Other Names 1

Doing Business AsGoldwater Care Danville

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2287749

Goldwater Care Danville · Danville, IL
Active · expires Aug 16, 2027
CLIA Number14D2287749
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorMarsha R. Lock
Laboratory Phone(217) 446-0660
Laboratory LocationGoldwater Care Danville620 Warrington Ave, Danville, IL 61832
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Skilled Nursing Facility
620 WARRINGTON AVE
DANVILLE, IL 61832
Occupational Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Physical Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Speech-Language Pathologist
620 WARRINGTON AVE
DANVILLE, IL 61832
Occupational Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Physical Therapist
620 WARRINGTON AVE
DANVILLE, IL 61832
Skilled Nursing Facility
620 WARRINGTON AVE
DANVILLE, IL 61832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goldwater Care Danville LLC's NPI number?

The NPI number for Goldwater Care Danville LLC is 1114617636. It was assigned to this organization in the NPPES registry on May 9, 2023. The provider is doing business as Goldwater Care Danville.

Where is Goldwater Care Danville LLC located?

Goldwater Care Danville LLC is located at 620 Warrington Ave, Danville, IL 61832. The listed phone number is (217) 446-0660.

What is Goldwater Care Danville LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Goldwater Care Danville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2287749) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Goldwater Care Danville LLC was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.