Timberlane Lodge Assisted Living Facility Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11914 Issued in FL

Legal business name

TIMBERLANE LODGE ASSISTED LIVING FACILITY INC.

Practice address

415 S Timberlane Dr
New Smyrna Beach, FL 32168-8261

Phone

(386) 428-7442

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Tamela Owens

Title

President

Phone

(386) 428-7442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1578993127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S TIMBERLANE DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S TIMBERLANE DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688261",
            "telephone_number": "386-428-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLANE LODGE ASSISTED LIVING FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-428-7442"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.