TDL GROUP, INC. (NPI# 1144629718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144629718 |
| Entity Type | Organization |
| Organization Name | TDL GROUP, INC. |
| Other Organization Name | SPECTRUM CILA |
| Practice Address |
618 W Goodner St Nashville IL 62263-1009 |
| Mailing Address |
Po Box 705 Mount Vernon IL 62864-0015 |
| Practice Telephone | 6184640161 |
| Practice Fax Number | 6184640162 |
| Mailing Telephone | 6182447701 |
| Mailing Fax Number | 6182447704 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | TONYA LINDSEY (PRESIDENT) |
| Authorized Official Telephone | 6182447701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spectrum CILA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
| 1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| 1972902534 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 11917 E Diana Rd, Mount Vernon, IL 62864-8873 | 2014-08-20 |
| 1578962288 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 709 E Saint Charles Ave, Mc Leansboro, IL 62859-1450 | 2014-08-19 |
| 1124383153 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 16711 N Old Centralia Ln, Mount Vernon, IL 62864-7697 | 2012-07-05 |
| 1780947960 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 2625 Eastview Dr, Belleville, IL 62221-4211 | 2012-06-21 |
| 1023371218 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 5305 Richview Rd, Mount Vernon, IL 62864-9609 | 2012-06-21 |
| Street Address |
618 W GOODNER ST |
| City | NASHVILLE |
| State | IL |
| Zip Code | 62263-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457575243 | Developmental Management, Inc. | Nursing Facility/Intermediate Care Facility | 618 W Goodner St, Nashville, IL 62263-1009 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518407998 | Betty Lou Birchett | Licensed Practical Nurse | 18429 Conservation Drive, Nashville, IL 62263 | 2017-03-03 |
| 1366740219 | Pamela S Lowry | Nurse Practitioner | 705 S. Grand Ave, Nashville, IL 62263 | 2011-03-02 |
| 1639364490 | Donna Trang Nguyen | Dentist | 520 East St Louis Street, Nashville, IL 62263 | 2007-09-13 |
| 1841297413 | Hyet Leslie Settlemoir | Internal Medicine | 705 S Grand St, Nashville, IL 62263 | 2005-06-28 |
| 1114205770 | Jennifer L Pennington | Physical Therapist | 3 Windswept Dr, Nashville, IL 62263 | 2011-08-01 |
| 1144296195 | Rodney Alan Small | Chiropractor | 1527 South Mill Street, Nashville, IL 62263-0027 | 2006-02-28 |
| 1891823662 | Washington County Vocational Workshop | Community/Behavioral Health | 781 E. Holzhauer Dr., Nashville, IL 62263-0273 | 2007-03-01 |
| 1780734293 | County of Washington | Ambulance | 160 N West Court St, Nashville, IL 62263-1128 | 2007-01-10 |
| 1215389705 | Melissa Rehkemper | Nurse Practitioner | 1472 W Saint Louis St, Nashville, IL 62263-1223 | 2016-07-07 |
| 1780718304 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1180 W Saint Louis St, Nashville, IL 62263-1226 | 2007-03-15 |
| Find all providers in zip 62263 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285099986 | Rha Health Services Tn LLC | Intermediate Care Facility, Mentally Retarded | 3805 Saunders Ave, Nashville, TN 37216-2021 | 2015-12-22 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1710188578 | New Horizons Corporation | Intermediate Care Facility, Mentally Retarded | 5221 Harding Pl, Nashville, TN 37217-2901 | 2007-05-30 |
| 1962544890 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 2415 Miller St, Nashville, TN 37210-5004 | 2007-02-14 |
| 1508908757 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 2411 Miller St, Nashville, TN 37210-5004 | 2007-02-13 |
| 1447392600 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 6120 Mount Pisgah Rd, Nashville, TN 37211-6715 | 2007-02-13 |
| 1720169519 | Christole, Inc. | Intermediate Care Facility, Mentally Retarded | 200 S. Hawthorne, Nashville, IN 47448-1789 | 2006-10-18 |
| 1629161278 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 523 Park Lane, Nashville, IN 47448 | 2006-10-02 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.