Tri County Elderly Nutrition Program

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

TRI COUNTY ELDERLY NUTRITION PROGRAM

Practice address

104 S Commercial
104 S Commercial
Temple, OK 73568-0000

Phone

(580) 342-5145

Fax

(580) 342-6898

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Tara M. Brown

Title

Project Director

Phone

(580) 342-5145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962617563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S COMMERCIAL",
            "address_2": "104 S COMMERCIAL",
            "city": "TEMPLE",
            "state": "OK",
            "postal_code": "735680000",
            "telephone_number": "580-342-5145",
            "fax_number": "580-342-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S COMMERCIAL",
            "address_2": "104 S COMMERCIAL",
            "city": "TEMPLE",
            "state": "OK",
            "postal_code": "735680000",
            "telephone_number": "580-342-5145",
            "fax_number": "580-342-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY ELDERLY NUTRITION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "580-342-5145"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PSG Temple LLC
• Andrea Marie Rendina, COTA
• Southwest LTC - Temple LLC
• Temple Public School
• Temple Public Schools

• Home Delivered Meals in Temple, OK
• Providers in Temple, OK by specialty
• Home Delivered Meals in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.