Organization Active NPI

S-H Thirty-Five Opco - Temple Meridian, LLC

  • Skilled Nursing Facility
  • Temple, TX
National Provider Identifier
1205223096
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
S-H THIRTY-FIVE OPCO - TEMPLE MERIDIAN, LLC
Practice address
4312 S 31St St
Temple, TX 76502-3313
Phone
(254) 771-1226
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Harrison
Title
Vice President/Corporate Secretary
Phone
(949) 407-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4312 S 31St St
Temple, TX 76502-3313

Mailing address

4312 S 31St St
Temple, TX 76502-3313
Phone (254) 771-1226

Other names 1

  • Meridian of Temple Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1205223096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023313",
            "telephone_number": "254-771-1226",
            "fax_number": "254-774-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023313",
            "telephone_number": "254-771-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H THIRTY-FIVE OPCO - TEMPLE MERIDIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT/CORPORATE SECRETARY",
        "authorized_official_telephone_number": "949-407-0700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian of Temple",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.