Timberlake Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

001 Issued in IL

Legal business name

TIMBERLAKE SENIOR LIVING

Practice address

2521 Empowerment Road
Springfield, IL 62703

Phone

(217) 321-2100

Fax

(217) 321-2130

NPI assigned

Apr 14, 2009

Last updated

Jul 21, 2022By 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

Bliss Pfeifer

Title

Administrator

Phone

(217) 321-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497998918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 EMPOWERMENT ROAD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703",
            "telephone_number": "217-321-2100",
            "fax_number": "217-321-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 EMPOWERMENT ROAD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703",
            "telephone_number": "217-321-2100",
            "fax_number": "217-321-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAKE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PFEIFER",
        "authorized_official_first_name": "BLISS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-321-2100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Till, MOTOTRL
• Nicholas M. Till, CRNA
• Jennifer Lynn Tillberg-McCoy, CRNA
• Kenna Tillman, CST, CSFA
• Timberlake Estates SLF, LP
• Rachel Paige Tindall, M.D.
• Imani Tiney
• Tiffany Yvonne Tinker, LPC
• Jennifer K. Tinsley, NP
• Brenda S Tintori, CRNA

• Assisted Living Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.