Healthcare Provider Details

I. General information

NPI: 1972427375
Provider Name (Legal Business Name): THE TIMBERS ASSISTED LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 KAREN DR
HOLTS SUMMIT MO
65043-2522
US

IV. Provider business mailing address

3225 EMERALD LN STE B
JEFFERSON CITY MO
65109-6869
US

V. Phone/Fax

Practice location:
  • Phone: 573-415-0390
  • Fax: 573-896-5874
Mailing address:
  • Phone: 573-556-6240
  • Fax: 573-556-6241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KARA SCHEULEN
Title or Position: MEMBER
Credential: SCHEULEN
Phone: 573-619-2655