GOLDWATER CARE PEORIA HEIGHTS LLC
NPI 1174350870
Durable Medical Equipment & Medical Supplies in Peoria, IL
About Goldwater Care Peoria Heights Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDWATER CARE PEORIA HEIGHTS LLC (NPI 1174350870), doing business as Goldwater Care Peoria Heights, is a healthcare organization registered as a durable medical equipment & medical supplies in Peoria, Illinois and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
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 14D2321269
Goldwater Care Peoria Heights · Peoria Heights, ILOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA HEIGHTS, IL 61616
PEORIA HEIGHTS, IL 61616
PEORIA HEIGHTS, IL 61616
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 Peoria Heights LLC's NPI number?
The NPI number for Goldwater Care Peoria Heights LLC is 1174350870. It was assigned to this organization in the NPPES registry on September 17, 2024. The provider is doing business as Goldwater Care Peoria Heights.
Where is Goldwater Care Peoria Heights LLC located?
Goldwater Care Peoria Heights LLC is located at 5533 N Galena Rd, Peoria, IL 61616. The listed phone number is (309) 682-5428.
What is Goldwater Care Peoria Heights LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Does Goldwater Care Peoria Heights LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2321269) is associated with this NPI, valid through March 31, 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 Peoria Heights LLC was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
