Provider Demographics
NPI:1548404551
Name:TEMPLE MERIDIAN LP
Entity Type:Organization
Organization Name:TEMPLE MERIDIAN LP
Other - Org Name:TEMPLE MERIDIAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER OF MANAGEMENT COMPANY
Authorized Official - Prefix:MR
Authorized Official - First Name:THILO
Authorized Official - Middle Name:D
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-287-3941
Mailing Address - Street 1:5426 BAY CENTER DR
Mailing Address - Street 2:SUITE 600 C/O HBC MANAGER, LLC
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3444
Mailing Address - Country:US
Mailing Address - Phone:813-287-3947
Mailing Address - Fax:813-287-3988
Practice Address - Street 1:4312 S 31ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-3313
Practice Address - Country:US
Practice Address - Phone:254-771-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
676364Medicare Oscar/Certification