ELMCROFT OF TIMBERLIN PARC
NPI 1922430107
Assisted Living Facility in Jacksonville, FL

Active since July 30, 2013CLIA 10D0982540 · Waiver
7620 TIMBERLIN PARK BLVD, JACKSONVILLE, FL 32256(904) 519-9300 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Elmcroft Of Timberlin Parc NPPES

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

ELMCROFT OF TIMBERLIN PARC (NPI 1922430107) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Robin L. Barber, Vice President, as its authorized official.

NPPES Registry Identity

NPI1922430107
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEC TIMBERLIN PARC OPERATIONS LLC
Location Address7620 TIMBERLIN PARK BLVDJacksonville, FL 32256-5407
Mailing Address9510 Ormsby Station Rd, Suite 101Louisville, KY 40223-4081 · (502) 753-6004 · Fax (502) 753-6104
Organization SubpartNo
Authorized OfficialRobin L. BarberVice President · (502) 753-6004
Enumeration DateJuly 30, 2013
✔ NPI 1922430107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL9191
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.
7620 TIMBERLIN PARK BLVD, Jacksonville, FL 32256

Other Names 1

Doing Business AsElmcroft Of Timberlin Parc

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 10D0982540

Ec Opco Timberlin Parc LLC Dba Elmcroft Of Timberlin Parc · Jacksonville, FL
Active · expires Jan 29, 2027
CLIA Number10D0982540
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorScott Revels
Laboratory Phone(904) 519-9300
Laboratory LocationEc Opco Timberlin Parc LLC Dba Elmcroft Of Timberlin Parc7620 Timberlin Park Blvd, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
7620 TIMBERLIN PARK BLVD
JACKSONVILLE, FL 32256
Assisted Living Facility
7620 TIMBERLIN PARK BLVD
JACKSONVILLE, FL 32256

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 Ec Timberlin Parc Operations LLC's NPI number?

The NPI number for Ec Timberlin Parc Operations LLC is 1922430107. It was assigned to this organization in the NPPES registry on July 30, 2013. The provider is doing business as Elmcroft Of Timberlin Parc.

Where is Ec Timberlin Parc Operations LLC located?

Ec Timberlin Parc Operations LLC is located at 7620 Timberlin Park Blvd, Jacksonville, FL 32256. The listed phone number is (904) 519-9300.

What is Ec Timberlin Parc Operations LLC's specialty?

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

Does Ec Timberlin Parc Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0982540) is associated with this NPI, valid through January 29, 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 Ec Timberlin Parc Operations LLC was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.