Active NPI
Timber Ridge Opco LLC
- Skilled Nursing Facility
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TIMBER RIDGE OPCO LLC
- Practice address
- 100 Timber Ridge Way NW
Issaquah, WA 98027-8890 - Phone
- (425) 427-5200
- Fax
- (425) 427-5207
- NPI assigned
- Jan 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Pendroy
- Title
- Senior Vice President
- Phone
- (515) 875-4527
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
100 Timber Ridge Way NW
Issaquah, WA 98027-8890
Mailing address
100 Timber Ridge Way NW
Issaquah, WA 98027-8890
Phone (425) 427-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200701003590 | WA | Part A Provider - Skilled Nursing Facility | 7618308081 | Practice locations: Issaquah, WA |
Skilled nursing facility certification: CCN 505518
- Legal name
- TIMBER RIDGE OPCO LLC
- Doing business as
- BRIARWOOD AT TIMBER RIDGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 30, 2008
- Last certification
- Oct 25, 2024
- Beds
- 45
- Ownership / control type
- Corporation
- Multi-facility organization
- Life Care Services
- Organization structure
- LLC
- Incorporated
- Dec 29, 2019 in DE
- Enrollment address
- 100 Timber Ridge Way NW
Issaquah, WA 98027-8891 - Nursing home name
- BRIARWOOD AT TIMBER RIDGE
- Affiliated entity
- LIFE CARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Briarwood at Timber Ridge
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 30, 2008
- Medicare certification status
- Active
- Certified beds
- 45
- Chain
- Life Care Services
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 28
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| National Health Investors, Inc. | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 25% |
| Adp of the SNF | Jun 1, 2020 | ||
| Life Care Companies LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 75% |
| Adp of the SNF | Jun 1, 2020 | ||
| LCS Timber Ridge LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2020 | 75% |
| Adp of the SNF | Jun 1, 2020 | ||
| Daniel L Lahey | Corporate Officer | Feb 15, 2024 | |
| Jason C Victor | Corporate Officer | Jan 1, 2018 | |
| Managing Control - Governing Body | Jan 1, 2018 | ||
| Nhi-LCS TRS LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2020 | 25% |
| Bridgette C Uhlemann | Corporate Officer | Feb 15, 2024 | |
| Life Care Services LLC | Operational/Managerial Control | Jun 1, 2020 | |
| Adp of the SNF | Apr 9, 2025 | ||
| Heather a Turner | Operational/Managerial Control | Jan 2, 2013 | |
| LCS Living LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2026 | 75% |
| Life Care Services Communities LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 75% |
| Adp of the SNF | Jun 1, 2020 | ||
| Gelynna Shaw | Corporate Officer | Feb 15, 2024 | |
| LCS Holding Company LLC | 5% Or Greater Indirect Ownership Interest | Dec 27, 2021 | 75% |
| Adp of the SNF | Jun 1, 2020 | ||
| LCS Living Intermediate II LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2026 | 75% |
| Dhirendra Kumar | Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Apr 11, 2025 | ||
| Oak Investment Trust | 5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 14.39% |
| LCS Living Intermediate I LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2026 | 75% |
| Errin D Humphrey | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Apr 9, 2025 | ||
| McCarthy Group LLC | 5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 8.16% |
| Adp of the SNF | Jun 1, 2020 | ||
| Oak Investment Trust II | 5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 38.66% |
| John Christopher Bird | Corporate Officer | Feb 15, 2024 | |
| Nhi-LCS JV I LLC | Adp of the SNF | Jun 1, 2020 | |
| LCS Management Holding Company LLC | 5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 3.96% |
| Adp of the SNF | Jun 1, 2020 | ||
| Rci Legacy Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 25.12% |
| Adp of the SNF | Jun 1, 2020 | ||
| LCS Living Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2026 | 75% |
| Redwood Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 24.88% |
| Adp of the SNF | Jun 1, 2020 | ||
| LCS CC Holdings Inc | 5% Or Greater Indirect Ownership Interest | May 1, 2026 | 34.19% |
| MPM Senior Living Investors LLC | 5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 11.73% |
| Adp of the SNF | Jun 1, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Kingston, PA
- NPI 1437326915
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 119
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1326771015
LCS CC Holdings Inc, LCS Holding Company LLC, LCS Living Holdings LLC, LCS Living Intermediate I LLC, LCS Living Intermediate II LLC, LCS Living LLC, LCS Management Holding Company LLC, Life Care Companies LLC, Life Care Services Communities LLC ·
-
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- East Lansing, MI
- NPI 1659344844
Life Care Services LLC
-
- Skilled Nursing Facility
- San Diego, CA
- NPI 1770566978
LCS Holding Company LLC, LCS Management Holding Company LLC, Life Care Companies LLC, Life Care Services LLC, McCarthy Group LLC, MPM Senior Living Investors LLC, Oak Investment Trust, Oak Investment Trust II, Rci Legacy Holdings LLC, Redwood Hol
-
- Skilled Nursing Facility
- Coatesville, PA
- NPI 1255342580
Life Care Services LLC
-
- Skilled Nursing Facility
- Leesburg, FL
- NPI 1073927331
Life Care Services LLC
-
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1164836425
Life Care Services LLC
-
- Skilled Nursing Facility
- Port Charlotte, FL
- NPI 1376957803
Life Care Services LLC
-
- Skilled Nursing Facility
- Bradenton, FL
- NPI 1417361858
Life Care Services LLC
-
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1790199057
Life Care Services LLC
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1215567102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TIMBER RIDGE WAY NW",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278890",
"telephone_number": "425-427-5200",
"fax_number": "425-427-5207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TIMBER RIDGE WAY NW",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278890",
"telephone_number": "425-427-5200",
"fax_number": "425-427-5207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMBER RIDGE OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "PENDROY",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "515-875-4527"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.