Timberwood Assisted Living, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

TIMBERWOOD ASSISTED LIVING, LLC

Practice address

1090 Gateway Loop
Springfield, OR 97477-1113

Phone

(541) 747-3373

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Holtz

Title

Controller

Phone

(541) 747-3373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891998084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771113",
            "telephone_number": "541-747-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771113",
            "telephone_number": "541-747-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERWOOD ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "541-747-3373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Three Rivers Anesthesia PC
• Steven W. Thurn, D.M.D., L.L.C.
• Thurston Medical Clinic
• Susan Tibbitts-Hernandez, R.N.
• Timber Valley Medical Clinic P C
• Stacy Tindall
• Emily Tinguely, PA-C
• Deborah Tipitino, RN
• Abhinav Tiwari, MD
• Jeffrey John Tjaarda, M.P.T.

• Point of Service in Springfield, OR
• Providers in Springfield, OR by specialty
• Point of Service in Oregon

• 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.