Organization Active NPI

Timberland Nursing LLC

  • Skilled Nursing Facility
  • Fairlawn, OH
National Provider Identifier
1720991409
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TIMBERLAND NURSING LLC
Practice address
3558 Ridgewood Rd
Fairlawn, OH 44333-3122
Phone
(234) 466-8689
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Officer Manager
Title
Offfier
Phone
(232) 466-8689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3558 Ridgewood Rd
Fairlawn, OH 44333-3122

Mailing address

3558 Ridgewood Rd
Fairlawn, OH 44333-3122

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1720991409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 RIDGEWOOD RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558 RIDGEWOOD RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333122",
            "telephone_number": "234-466-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MANAGER",
        "authorized_official_first_name": "OFFICER",
        "authorized_official_title_or_position": "OFFFIER",
        "authorized_official_telephone_number": "232-466-8689"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.