Tall Timbers, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

TALL TIMBERS, LLC

Practice address

5550 Noland Rd
Kansas City, MO 64133-3685

Phone

(816) 356-0200

Fax

(816) 356-0204

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Gordon Goodman

Title

Owner

Phone

(816) 356-0200

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1316541337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 NOLAND RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641333685",
            "telephone_number": "816-356-0200",
            "fax_number": "816-356-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 NOLAND RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641333685",
            "telephone_number": "816-356-0200",
            "fax_number": "816-356-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALL TIMBERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-356-0200"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gdgood@swbell.net",
            "affiliation": "N",
            "endpointDescription": "Residential Care Facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5550 Noland Rd",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641333685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber D. Takens, M.A.
• Glenn E Talboy Jr., MD
• Sepehr Talebian Khorasani, MD
• Nasreen Talib, M.D.,
• Samena Talib, MD
• Vinaykumar Sai Tallavajhala, MD
• Payton Tallent, MSN, CPNC-AC
• Jessica Lynn Talley, CRNA
• Julie L Talley, APRN CNM
• Rithvik Siddhi Talluri

• Assisted Living Facility (Mental Illness) in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.