Organization Active NPI

Timber Ridge Opco LLC

  • Skilled Nursing Facility
  • Issaquah, WA
National Provider Identifier
1215567102
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jan 21, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RidgeCCN 505518
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 30, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4542.5 residents per day on average
Chain
Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
National Health Investors, Inc. Organization, Murfreesboro, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
Adp of the SNF Jun 1, 2020
Life Care Companies LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 75%
Adp of the SNF Jun 1, 2020
LCS Timber Ridge LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2020 75%
Adp of the SNF Jun 1, 2020
Daniel L Lahey Individual Corporate OfficerExecutive Vice President Feb 15, 2024
Jason C Victor Individual Corporate OfficerSr Vice President and Treasurer Jan 1, 2018
Managing Control - Governing BodySr. Vice President and Treasurer Jan 1, 2018
Nhi-LCS TRS LLC Organization, Murfreesboro, TN Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2020 25%
Bridgette C Uhlemann Individual Corporate OfficerSr. Vice President and Secretary Feb 15, 2024
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Jun 1, 2020
Adp of the SNF Apr 9, 2025
Heather a Turner Individual Operational/Managerial Control Jan 2, 2013
LCS Living LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2026 75%
Life Care Services Communities LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 75%
Adp of the SNF Jun 1, 2020
Gelynna Shaw Individual Corporate OfficerExecutive Vice President Feb 15, 2024
LCS Holding Company LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 27, 2021 75%
Adp of the SNF Jun 1, 2020
LCS Living Intermediate II LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2026 75%
Dhirendra Kumar Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Apr 11, 2025
Oak Investment Trust Organization, Tampa, FL 5% Or Greater Indirect Ownership Interest Dec 28, 2021 14.39%
LCS Living Intermediate I LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2026 75%
Errin D Humphrey Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Apr 9, 2025
McCarthy Group LLC Organization, Omaha, NE LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 28, 2021 8.16%
Adp of the SNF Jun 1, 2020
Oak Investment Trust II Organization, Tampa, FL 5% Or Greater Indirect Ownership Interest Dec 28, 2021 38.66%
John Christopher Bird Individual Corporate OfficerPresident and Ceo Feb 15, 2024
Nhi-LCS JV I LLC Organization, Murfreesboro, TN LLC, For-profit Adp of the SNF Jun 1, 2020
LCS Management Holding Company LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 28, 2021 3.96%
Adp of the SNF Jun 1, 2020
Rci Legacy Holdings LLC Organization, Hanover, MD LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 28, 2021 25.12%
Adp of the SNF Jun 1, 2020
LCS Living Holdings LLC Organization, Des Moines, IA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2026 75%
Redwood Holdings LLC Organization, Hanover, MD LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 28, 2021 24.88%
Adp of the SNF Jun 1, 2020
LCS CC Holdings Inc Organization, Omaha, NE Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2026 34.19%
MPM Senior Living Investors LLC Organization, Omaha, NE LLC, For-profit, Owned by another organization or individual 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.

Facilities with the same owner 119

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 119

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

Verify at the official NPI Registry.