Organization · Type 2 NPI

Goldwater Pontiac Nursing Home LLC

Skilled Nursing Facility · Pontiac, IL

NPI number 1184345928 Active

Practice location

1225 S Ewing Dr
Pontiac, IL 61764-9701

Call (815) 844-5121 Map

Mailing address

4655 W Chase Ave
Lincolnwood, IL 60712-1605

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (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 r…

2 other providers at this address

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NPI record

NPI: 1184345928
Entity type: Organization (Type 2)
Issued: Sep 9, 2022
Last updated: Sep 25, 2025
Status: Active

Other names

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Goldwater Pontiac Nursing Home · doing business as
Goldwater Pontiac Nursing Home · doing business as
Goldwater Care Pontiac · doing business as

Authorized official

Jennifer Spector
VP of Revenue Cycle Management
(847) 262-3800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184345928

Goldwater Pontiac Nursing Home LLC's National Provider Identifier is 1184345928, issued on Sep 9, 2022. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pontiac, IL. The record was last updated on Sep 25, 2025.