Provider Demographics
NPI:1568246866
Name:TEMPLE HEALTHCARE LLC
Entity Type:Organization
Organization Name:TEMPLE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JADA
Authorized Official - Middle Name:NY'SHEIA
Authorized Official - Last Name:LEGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-539-6679
Mailing Address - Street 1:1025 COOKS LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-1231
Mailing Address - Country:US
Mailing Address - Phone:443-539-6679
Mailing Address - Fax:
Practice Address - Street 1:8388 COURT AVE STE 301
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-5200
Practice Address - Country:US
Practice Address - Phone:443-539-6679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health