GOLDWATER PONTIAC NURSING HOME, NPI 1184345928 - Skilled Nursing Facility in Pontiac, IL

GOLDWATER PONTIAC NURSING HOME
NPI 1184345928
Skilled Nursing Facility in Pontiac, IL

NPI Status: Active since September 09, 2022

Contact Information

1225 S EWING DR
PONTIAC, IL
ZIP 61764
Phone: (815) 844-5121

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  • Organization
  • Skilled Nursing Facility

About GOLDWATER PONTIAC NURSING HOME

Goldwater Pontiac Nursing Home is a provider established in Pontiac, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1184345928 assigned on September 2022. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Goldwater Pontiac Nursing Home. The authorized official of this NPI record is Meir Katzenstein (Ceo)

NPI
1184345928
Provider Legal Name
GOLDWATER PONTIAC NURSING HOME LLC
Other Organization Name
GOLDWATER PONTIAC NURSING HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1225 S EWING DR PONTIAC, IL 61764
Location Phone
(815) 844-5121
Mailing Address
4655 W CHASE AVE LINCOLNWOOD, IL 60712
Mailing Phone
(184) 726-2380
Mailing Fax
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
09-09-2022
Last Update Date
01-02-2023
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 1 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Bronze 1: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Rx Copay - HMO
    • Bronze 4 PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 3 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Gold 3: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Rx Copay - HMO
    • Gold S PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 5 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Silver 5: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 6 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Silver 6: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Rx Copay - HMO
    • Silver 7 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
    • Blue Choice Preferred Gold PPO℠ 204 - Rx Copays - PPO
    • Blue Choice Preferred Gold PPO℠ 707 - PPO
    • Blue Choice Preferred Security PPO℠ 200 - PPO
    • Blue Choice Preferred Silver PPO℠ 203 - PPO
    • Blue Choice Preferred Silver PPO℠ 706 - PPO
    • Blue Choice Preferred Silver PPO℠ 801 - Rx Copay - PPO
    • Blue Precision Bronze HMO℠ 205 - HMO
    • Blue Precision Bronze HMO℠ 701 - Rx Copays - HMO
    • Blue Precision Bronze HMO℠ 708 - HMO
    • Blue Precision Gold HMO℠ 207 - HMO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 with Rx Copay - HMO
    • Silver 1 - HMO
    • Silver 1 with Rx Copay and Adult Vision Services - HMO
    • Silver 12 with first 4 free PCP or MH visits - HMO
    • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEIR KATZENSTEIN

Authorized Official Title
CEO
Authorized Official Phone
(847) 262-3800

Reviews for GOLDWATER PONTIAC NURSING HOME

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184345928
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164641094
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 6 + 4 + 1 + 0 + 9 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1184345928 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881679579GOOD SAMARITAN PONTIAC
Organization
Skilled Nursing Facility1225 S EWING DR
PONTIAC, IL 61764
(815) 844-5121
1174244917GOLDWATER PONTIAC NURSING HOME LLC
Organization
Durable Medical Equipment & Medical Supplies1225 S EWING DR
PONTIAC, IL 61764
(815) 844-5121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184345928, enumerated in the NPI registry as an "organization" on September 09, 2022

The provider is located at 1225 S Ewing Dr Pontiac, Il 61764 and the phone number is (815) 844-5121

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 09, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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