Timberberry Alh, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100997 Issued in AK

Legal business name

TIMBERBERRY ALH, LLC

Practice address

17141 Baronoff Ave
Eagle River, AK 99577-8139

Phone

(907) 696-2233

NPI assigned

Dec 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol Gershel, RNNPI 1053742114

Title

Administrator

Phone

(907) 274-9099

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Gershel, RN

  • Day Training/Habilitation Specialist
  • Eagle River, AK
  • NPI 1053742114
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1013338862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771772",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995771772",
            "telephone_number": "907-274-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17141 BARONOFF AVE",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778139",
            "telephone_number": "907-696-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERBERRY ALH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "GERSHEL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-274-9099",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Thomas
• Lisa Thomas
• Sarah M Thomas
• Abigale Thompson
• Katelynn Zanders Thomson, OTD, OTR/L
• Tincher Therapy Services
• Vivien Watts Tincher, MS, LPC, CDCII, MAC,
• Rachel M Topf, RD
• Andrea Toth, SLP
• Casta Townsley

• Assisted Living Facility in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.