NPIMap

Organization Active NPI

Timberline Knolls, LLC

  • Psychiatric Residential Treatment Facility
  • Lemont, IL
National Provider Identifier
1730271990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
A 3651-0001-A Issued in IL
Legal business name
TIMBERLINE KNOLLS, LLC
Practice address
40 Timberline Dr
Lemont, IL 60439-3848
Phone
(630) 257-9600
Fax
(630) 257-9678
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tamara Lisa Williams, R.N.
Title
Director of Nursing
Phone
(630) 343-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X A 3651-0001-A IL Primary

Addresses

Primary practice location

40 Timberline Dr
Lemont, IL 60439-3848

Mailing address

40 Timberline Dr
Lemont, IL 60439-3848
Phone (630) 257-9600

National Provider Directory

National Provider Directory
Tax ID family
Timberline Knolls LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730271990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TIMBERLINE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393848",
            "telephone_number": "630-257-9600",
            "fax_number": "630-257-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TIMBERLINE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393848",
            "telephone_number": "630-257-9600",
            "fax_number": "630-257-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE KNOLLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "630-343-2330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IL",
            "license": "A 3651-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.