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GOLDWATER CARE PRINCETON LLC
NPI 1396596292
Durable Medical Equipment & Medical Supplies in Princeton, IL

Active since March 28, 2024
515 S BUREAU VALLEY PKWY, PRINCETON, IL 61356(815) 875-3347 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 Princeton Llc NPPES

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

GOLDWATER CARE PRINCETON LLC (NPI 1396596292), doing business as Goldwater Care Princeton, is a healthcare organization registered as a durable medical equipment & medical supplies in Princeton, Illinois and active in the NPI registry since March 2024. The organization lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1396596292
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGOLDWATER CARE PRINCETON LLC
Location Address515 S BUREAU VALLEY PKWYPrinceton, IL 61356-2203
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800
Phone(815) 875-3347
Organization SubpartNo
Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800
Enumeration DateMarch 28, 2024
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1396596292 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.
515 S BUREAU VALLEY PKWY, Princeton, IL 61356
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Other Names 1

Doing Business AsGoldwater Care Princeton

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 14D2309017

Goldwater Care Princeton · Princeton, IL
Expired · Aug 7, 2026
CLIA Number14D2309017
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorChi Ann Munson
Laboratory Phone(815) 875-3347
Laboratory LocationGoldwater Care Princeton515 Bureau Valley Pkwy, Princeton, IL 61356
CLIA data matches this NPI record on: 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.

PHCH, LLC
Skilled Nursing Facility
515 S BUREAU VALLEY PKWY
PRINCETON, IL 61356
Bureau County (815) 875-3347
COLONIAL NURSING AND REHABILITATION CENTER
Skilled Nursing Facility
515 S BUREAU VALLEY PKWY
PRINCETON, IL 61356
Bureau County (815) 875-3347
APERION CARE PRINCETON
Durable Medical Equipment & Medical Supplies
515 S BUREAU VALLEY PKWY
PRINCETON, IL 61356
Bureau County (815) 875-3347
COLONIAL HEALTHCARE AND REHABILITATION CENTRE LLC
Skilled Nursing Facility
515 S BUREAU VALLEY PKWY
PRINCETON, IL 61356
Bureau County (815) 875-3347
SHELLY L NELSON MS, CCC-SLP/L
Speech-Language Pathologist
515 S BUREAU VALLEY PKWY
PRINCETON, IL 61356
Bureau County (815) 872-0023
GOLDWATER CARE PRINCETON LLC
Skilled Nursing Facility
515 S BUREAU VALLEY PKWY
PRINCETON, IL 61356
Bureau County (815) 875-3347
APERION CARE PRINCETON
Skilled Nursing Facility
515 S BUREAU VALLEY PKWY
PRINCETON, IL 61356
Bureau County (815) 875-3347

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 Princeton LLC's NPI number?

The NPI number for Goldwater Care Princeton LLC is 1396596292. It was assigned to this organization in the NPPES registry on March 28, 2024. The provider is doing business as Goldwater Care Princeton.

Where is Goldwater Care Princeton LLC located?

Goldwater Care Princeton LLC is located at 515 S Bureau Valley Pkwy, Princeton, IL 61356. The listed phone number is (815) 875-3347.

What is Goldwater Care Princeton LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Goldwater Care Princeton 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.