GOLDWATER CARE BLOOMINGTON LLC
NPI 1396439097
Skilled Nursing Facility in Bloomington, IL
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
Specialties & Licenses
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 14D2288744
Goldwater Care Bloomington · Bloomington, ILOther Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.