Provider Demographics
NPI:1578560439
Name:TUTOR NURSING HOME, INC.
Entity Type:Organization
Organization Name:TUTOR NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPELBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-778-3301
Mailing Address - Street 1:119 S 33RD ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-4021
Mailing Address - Country:US
Mailing Address - Phone:254-778-3301
Mailing Address - Fax:254-742-0169
Practice Address - Street 1:119 S 33RD ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-4021
Practice Address - Country:US
Practice Address - Phone:254-778-3301
Practice Address - Fax:254-742-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-6061Medicare ID - Type Unspecified