Goldwater Pontiac Nursing Home LLC
NPI 1174244917 · Durable Medical Equipment & Medical Supplies · Pontiac, IL
Goldwater Pontiac Nursing Home LLC is a Durable Medical Equipment & Medical Supplies organization in Pontiac, IL (NPI 1174244917).
Provider details
- NPI number
- 1174244917
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jennifer Spector, Vp of Revenue Cycle Management(847) 262-3800
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Goldwater Pontiac Nursing Home
- Doing business as
- Goldwater Pontiac Nursing Home
Registry dates
- Enumerated
- 2022-09-09
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Frequently asked questions
- What is Goldwater Pontiac Nursing Home LLC's NPI number?
- Goldwater Pontiac Nursing Home LLC's National Provider Identifier (NPI) is 1174244917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Goldwater Pontiac Nursing Home LLC?
- Goldwater Pontiac Nursing Home LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Goldwater Pontiac Nursing Home LLC located?
- Goldwater Pontiac Nursing Home LLC's practice location on file with NPPES is 1225 S Ewing Dr, Pontiac, IL 61764-9701.
- What is Goldwater Pontiac Nursing Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Goldwater Pontiac Nursing Home LLC is (815) 844-5121.
- Who is the authorized official for Goldwater Pontiac Nursing Home LLC?
- The authorized official listed on Goldwater Pontiac Nursing Home LLC's NPPES record is Jennifer Spector, Vp of Revenue Cycle Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Goldwater Pontiac Nursing Home LLC's NPI active?
- Yes — Goldwater Pontiac Nursing Home LLC's NPI (1174244917) is active in the NPPES registry as of the last update on 2025-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.