GOLDWATER CARE GIBSON CITY LLC
NPI 1275227977
Durable Medical Equipment & Medical Supplies in Gibson City, IL

Q: What is Goldwater Care Gibson City LLC's NPI number?

The NPI number for Goldwater Care Gibson City LLC is 1275227977. It was assigned to this organization in the NPPES registry on June 6, 2023. The provider is doing business as Goldwater Care Gibson City.

Q: What is Goldwater Care Gibson City LLC's specialty?

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

Q: What quality rating does Goldwater Care Gibson City LLC have?

CMS rates Goldwater Care Gibson City 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since June 06, 2023CLIA 14D2288460 · Waiver

1/5

Overall Rating

620 E 1ST ST, GIBSON CITY, IL 60936(217) 784-4257 Get Directions Write a Review

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

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About Goldwater Care Gibson City Llc NPPES

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

GOLDWATER CARE GIBSON CITY LLC (NPI 1275227977), doing business as Goldwater Care Gibson City, is a healthcare organization registered as a durable medical equipment & medical supplies in Gibson City, Illinois and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1275227977

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameGOLDWATER CARE GIBSON CITY LLC

Location Address620 E 1ST STGibson City, IL 60936-1822

Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800

Phone(217) 784-4257

Organization SubpartNo

Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800

Enumeration DateJune 6, 2023

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1275227977 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 E 1ST ST, Gibson City, IL 60936

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Other Names 1

Doing Business AsGoldwater Care Gibson City

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 14D2288460

Goldwater Care Gibson City · Gibson City, IL

Active · expires Aug 24, 2027

CLIA Number14D2288460

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorLinda M. Bane

Laboratory Phone(217) 784-4257

Laboratory LocationGoldwater Care Gibson City620 E 1st St, Gibson City, IL 60936

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Goldwater Care Gibson City (CMS certification number 145911), from CMS Care Compare.

Goldwater Care Gibson City

Nursing home · Gibson City, IL

1/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number145911

Certified Beds60 beds58 residents per day on average

Medicare & Medicaid Participant SinceDecember 1, 1996

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

1/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

212

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.23 · LPN 0.36 · RN 0.65

3.25 hrs per resident per day

Weekend Nurse Staffing

3.01 hrs per resident per day

Physical Therapist Staffing

0.1 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

52.8%

Registered Nurse Turnover

54.5%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

5 totaling $25,422.94

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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Other Providers at the Same Location NPPES 9

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

ACCOLADE HEALTHCARE OF GIBSON CITY, LLC

Skilled Nursing Facility