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GOLDWATER CARE CLINTON LLC
NPI 1376352518
Durable Medical Equipment & Medical Supplies in Clinton, IL

Active since January 02, 2025CLIA 14D2326431 · Waiver
1 PARK LN W, CLINTON, IL 61727(217) 935-8500 Get Directions Write a Review

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

About Goldwater Care Clinton Llc NPPES

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

GOLDWATER CARE CLINTON LLC (NPI 1376352518), doing business as Goldwater Care Clinton, is a healthcare organization registered as a durable medical equipment & medical supplies in Clinton, Illinois and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1376352518
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGOLDWATER CARE CLINTON LLC
Location Address1 PARK LN WClinton, IL 61727-2637
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800
Phone(217) 935-8500
Organization SubpartNo
Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800
Enumeration DateJanuary 2, 2025
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1376352518 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.
1 PARK LN W, Clinton, IL 61727
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Other Names 1

Doing Business AsGoldwater Care Clinton

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 14D2326431

Goldwater Care Clinton · Clinton, IL
Active · expires Jul 2, 2027
CLIA Number14D2326431
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorChristine Banks
Laboratory Phone(217) 935-8500
Laboratory LocationGoldwater Care Clinton1 Park Lane West, Clinton, IL 61727
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 7

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

RACHAEL COURTNEY
Occupational Therapist
1 PARK LN W
CLINTON, IL 61727
De Witt County (217) 935-8500
KATI SMITH
Occupational Therapy Assistant
1 PARK LN W
CLINTON, IL 61727
De Witt County (217) 935-8500
TAYLOR LYNNE SPIVEY
Occupational Therapy Assistant
1 PARK LN W
CLINTON, IL 61727
De Witt County (217) 935-8500
GOLDWATER ESTATES OF CLINTON LLC
Assisted Living Facility
1 PARK LN W
CLINTON, IL 61727
De Witt County (217) 935-8500
JENNIFER DOOLEY
Occupational Therapy Assistant
1 PARK LN W
CLINTON, IL 61727
De Witt County (217) 935-8500
GOLDWATER CARE CLINTON LLC
Skilled Nursing Facility
1 PARK LN W
CLINTON, IL 61727
De Witt County (217) 935-8500
JAMES JARMAN PTA
Physical Therapy Assistant
1 PARK LN W
CLINTON, IL 61727
De Witt County (217) 935-8500

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 Clinton LLC's NPI number?

The NPI number for Goldwater Care Clinton LLC is 1376352518. It was assigned to this organization in the NPPES registry on January 2, 2025. The provider is doing business as Goldwater Care Clinton.

Where is Goldwater Care Clinton LLC located?

Goldwater Care Clinton LLC is located at 1 Park Ln W, Clinton, IL 61727. The listed phone number is (217) 935-8500.

What is Goldwater Care Clinton LLC's specialty?

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

Does Goldwater Care Clinton LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2326431) is associated with this NPI, valid through July 2, 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 Clinton 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.