Timberidge Nursing and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TIMBERIDGE NURSING AND REHABILITATION CENTER, LLC

Practice address

315 W Gibson St
Jasper, TX 75951-4903

Phone

(409) 384-5768

Fax

(409) 381-8774

NPI assigned

Jun 24, 2015

Organization subpart

No

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

Authorized official

Name

Jack H Sanders

Title

Managing Member

Phone

(318) 590-0007

Specialties & licenses 1

Addresses

Other names 1

• timberidge nursing and rehabilitation center Doing business as

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1679955843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514903",
            "telephone_number": "409-384-5768",
            "fax_number": "409-381-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514903",
            "telephone_number": "409-384-5768",
            "fax_number": "409-381-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERIDGE NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-590-0007"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "timberidge nursing and rehabilitation center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.