Polk Nursing Home Limited Partnership

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

113278 Issued in TX

Legal business name

POLK NURSING HOME LIMITED PARTNERSHIP

Doing business as

Timberwood Nursing and Rehabilitation Center

Practice address

6633 E Highway 290
Suite # 202
Austin, TX 78723-1172

Phone

(512) 458-5707

Fax

(512) 458-5751

NPI assigned

Oct 6, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Himmel

Title

Ceo

Phone

(512) 458-5707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Timberwood Nursing and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487641296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2",
            "address_2": "HIGHWAY 59 NORTH BYPASS",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519802",
            "telephone_number": "936-327-4446",
            "fax_number": "936-327-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 E HIGHWAY 290",
            "address_2": "SUITE # 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231172",
            "telephone_number": "512-458-5707",
            "fax_number": "512-458-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK NURSING HOME LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIMMEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-458-5707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "113278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "HH2664",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberwood Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Polatov
• Soumya Lakshmi Polavarapu, DO
• Rainer N. Poley, M.D.
• Katherine Cook Poliner, MD
• John Politz, M.D.
• Carly Pollack, CCN, MS
• Jennifer Pollack, LMFT
• Danielle Melissa Polland, LCSW
• Jennifer Blair Pollard Ruiz, MD
• Tracy Angelia Pollard-Johnson

• Nursing Facility/Intermediate Care Facility in Austin, TX
• Providers in Austin, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.