GOLDWATER CARE BLOOMINGTON LLC
NPI 1396439097
Skilled Nursing Facility in Bloomington, IL

Active since June 06, 2023CLIA 14D2288744 · Waiver
700 E WALNUT ST, BLOOMINGTON, IL 61701(309) 827-8004 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 Bloomington Llc NPPES

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

GOLDWATER CARE BLOOMINGTON LLC (NPI 1396439097), doing business as Goldwater Care Bloomington, is a healthcare organization registered as a skilled nursing facility in Bloomington, Illinois and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1396439097
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOLDWATER CARE BLOOMINGTON LLC
Location Address700 E WALNUT STBloomington, IL 61701-3244
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800
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 1396439097 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.
700 E WALNUT ST, Bloomington, IL 61701

Other Names 1

Doing Business AsGoldwater Care Bloomington

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 14D2288744

Goldwater Care Bloomington · Bloomington, IL
Active · expires Aug 29, 2027
CLIA Number14D2288744
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorJan M. Joaquin
Laboratory Phone(309) 827-8004
Laboratory LocationGoldwater Care Bloomington700 E Walnut St, Bloomington, IL 61701
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 19

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

Occupational Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Clinic/Center (Physical Therapy)
700 E WALNUT ST
BLOOMINGTON, IL 61701
Physical Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Internal Medicine
700 E WALNUT ST
BLOOMINGTON, IL 61701
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
700 E WALNUT ST
BLOOMINGTON, IL 61701
Occupational Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Physical Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Skilled Nursing Facility
700 E WALNUT ST
BLOOMINGTON, IL 61701

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 Bloomington LLC's NPI number?

The NPI number for Goldwater Care Bloomington LLC is 1396439097. It was assigned to this organization in the NPPES registry on June 6, 2023. The provider is doing business as Goldwater Care Bloomington.

Where is Goldwater Care Bloomington LLC located?

Goldwater Care Bloomington LLC is located at 700 E Walnut St, Bloomington, IL 61701. The listed phone number is (309) 827-8004.

What is Goldwater Care Bloomington LLC's specialty?

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

Does Goldwater Care Bloomington LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2288744) is associated with this NPI, valid through August 29, 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 Bloomington 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.