TIMBERLAKE ESTATES SLF, LP
NPI 1851793285
Assisted Living Facility in Springfield, IL

Active since September 17, 2014CLIA 14D2209195 · Waiver
2521 EMPOWERMENT RD, SPRINGFIELD, IL 62703(217) 321-2100(217) 321-2130 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timberlake Estates Slf, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMBERLAKE ESTATES SLF, LP (NPI 1851793285) is a healthcare organization registered as an assisted living facility in Springfield, Illinois and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Teri D Cooper, Medicare Billing Facilitator, as its authorized official.

NPPES Registry Identity

NPI1851793285
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTIMBERLAKE ESTATES SLF, LP
Location Address2521 EMPOWERMENT RDSpringfield, IL 62703-4983
Mailing Address2521 Empowerment RdSpringfield, IL 62703-4983 · (217) 321-2100 · Fax (217) 321-2130
Fax(217) 321-2130
Organization SubpartNo
Authorized OfficialTeri D CooperMedicare Billing Facilitator · (217) 732-5119
Enumeration DateSeptember 17, 2014
Last NPPES UpdateJune 1, 2016
NPI 1851793285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2521 EMPOWERMENT RD, Springfield, IL 62703

Other Identifiers 1

Medicaid205917599001IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2209195

Timberlake Estates S L F, L P · Springfield, IL
Active · expires Jan 11, 2027
CLIA Number14D2209195
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorJoy Kirkwood
Laboratory Phone(217) 321-2100
Laboratory LocationTimberlake Estates S L F, L P2521 Empowerment Rd, Springfield, IL 62703
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timberlake Estates Slf, LP's NPI number?

The NPI number for Timberlake Estates Slf, LP is 1851793285. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Timberlake Estates Slf, LP located?

Timberlake Estates Slf, LP is located at 2521 Empowerment Rd, Springfield, IL 62703. The listed phone number is (217) 321-2100.

What is Timberlake Estates Slf, LP's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Timberlake Estates Slf, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2209195) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timberlake Estates Slf, LP was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.