GOLDWATER PONTIAC NURSING HOME LLC
NPI 1184345928
Skilled Nursing Facility in Pontiac, IL

Active since September 09, 2022
1225 S EWING DR, PONTIAC, IL 61764(815) 844-5121 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2023, Oct 3, 2022, Sep 9, 2022 (3 updates tracked since 2022).

About Goldwater Pontiac Nursing Home Llc NPPES

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

GOLDWATER PONTIAC NURSING HOME LLC (NPI 1184345928), doing business as Goldwater Pontiac Nursing Home, is a healthcare organization registered as a skilled nursing facility in Pontiac, Illinois and active in the NPI registry since September 2022. The organization lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1184345928
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOLDWATER PONTIAC NURSING HOME LLC
Location Address1225 S EWING DRPontiac, IL 61764-9701
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (184) 726-2380 · Fax (847) 996-2151
Organization SubpartNo
Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800
Enumeration DateSeptember 9, 2022
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
NPI 1184345928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1225 S EWING DR, Pontiac, IL 61764

Other Names 2

Doing Business AsGoldwater Pontiac Nursing Home
Doing Business AsGoldwater Care Pontiac

Other Providers at the Same Location NPPES 2

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

Durable Medical Equipment & Medical Supplies
1225 S EWING DR
PONTIAC, IL 61764
Skilled Nursing Facility
1225 S EWING DR
PONTIAC, IL 61764

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 Pontiac Nursing Home LLC's NPI number?

The NPI number for Goldwater Pontiac Nursing Home LLC is 1184345928. It was assigned to this organization in the NPPES registry on September 9, 2022. The provider is doing business as Goldwater Pontiac Nursing Home and Goldwater Care Pontiac.

Where is Goldwater Pontiac Nursing Home LLC located?

Goldwater Pontiac Nursing Home LLC is located at 1225 S Ewing Dr, Pontiac, IL 61764. The listed phone number is (815) 844-5121.

What is Goldwater Pontiac Nursing Home LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Goldwater Pontiac Nursing Home LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.