Ec Opco Timberlin Parc, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EC OPCO TIMBERLIN PARC, LLC

Practice address

7620 Timberlin Park Blvd
Jacksonville, FL 32256-5407

Phone

(813) 960-5346

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Amy W Fleming

Title

Controller

Phone

(971) 337-3922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1639670847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 MEADOWS RD STE 500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358646",
            "telephone_number": "971-213-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 TIMBERLIN PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565407",
            "telephone_number": "813-960-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC OPCO TIMBERLIN PARC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "971-337-3922"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, 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 Mar 12, 2019; 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.