TDL GROUP, INC.


Address: 867 County Road 2150 E, Fairfield, IL 62837-2824
Phone: 6188424823

TDL GROUP, INC. (NPI# 1790141794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790141794
Entity Type Organization
Organization Name TDL GROUP, INC.
Other Organization Name MATRIX PLACE
Practice Address 867 County Road 2150 E
Fairfield
IL 62837-2824
Mailing Address Po Box 705
Mount Vernon
IL 62864-0015
Practice Telephone 6188424823
Mailing Telephone 6182447701
Enumeration Date 2016-01-06
Last Update Date 2016-01-06
Authorized Official Name TONYA LINDSEY (PRESIDENT)
Authorized Official Telephone 6182447701
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Matrix Place Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1407119696 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 105 Kensington Heights Rd, Belleville, IL 62226-5030 2012-06-21

Office Location

Street Address 867 COUNTY ROAD 2150 E
City FAIRFIELD
State IL
Zip Code 62837-2824

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881294619 Katelyn Atteberry Pharmacist 150 Commerce Drive, Fairfield, IL 62837 2020-10-30
1265894521 Rebecca August Social Worker 506 Nw 9th St, Fairfield, IL 62837 2016-03-25
1063814259 Kathie L Hill Social Worker 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 2014-09-19
1912206731 Way-fair Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 305 Northwest 11th Street, Fairfield, IL 62837 2011-03-18
1063600773 Alvin Ewing Counselor 407 N. Basin Road, Fairfield, IL 62837 2007-10-09
1417145129 Gilbert Tennyson Counselor 407 North Basin Rd, Fairfield, IL 62837 2007-10-09
1972791689 Clint Harvey Counselor 407 North Basin Road, Fairfield, IL 62837 2007-10-09
1770789778 Fairfield Estates, LLC Point of Service 315 North Market Street, Fairfield, IL 62837 2007-06-26
1346382207 Robert E Lowry Counselor 407 N Basin Rd., Fairfield, IL 62837 2007-02-13
1790840825 Bradley D Kramer Dentist 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 2006-12-27
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164888160 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 1406 W Delaware St, Fairfield, IL 62837-2336 2016-01-06
1083882658 Crossroads Living Center, Inc. Intermediate Care Facility, Mentally Retarded 325 Honeysuckle Dr, Fairfield, CA 94533-1124 2008-02-15
1023206380 Rescare Ohio, Inc. Intermediate Care Facility, Mentally Retarded 5099 Camelot Dr, Fairfield, OH 45014-7423 2007-10-11
1841342771 Developmental Planning & Services Inc Intermediate Care Facility, Mentally Retarded Rr 3 Box 601, Fairfield, IL 62837-9565 2007-01-18
1821158981 North Country Associates, Inc Intermediate Care Facility, Mentally Retarded 149 Route 201, Fairfield, ME 04937-3372 2006-12-11
1972670016 Miller Holdings Takoda, Inc. Intermediate Care Facility, Mentally Retarded 350 Kolb Dr, Fairfield, OH 45014-5357 2006-11-30
1245303528 Jjr Enterprises Inc Intermediate Care Facility, Mentally Retarded 813 W Center St, Fairfield, IL 62837-1403 2006-11-16
1356707350 T Intermediate Care Facility, Mentally Retarded 813 W Center St, Fairfield, IL 62837-1403 2016-01-06
1033474051 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 813 W Center St, Fairfield, IL 62837-1403 2012-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871039669 Mount St Joseph Intermediate Care Facility, Mentally Retarded 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 2017-01-17
1447792221 Shore Community Services, Inc. Intermediate Care Facility, Mentally Retarded 8350 Laramie Ave, Skokie, IL 60077-2461 2016-11-10
1770930968 Community Support Systems Intermediate Care Facility, Mentally Retarded 2311 Veterans Drive, Effingham, IL 62401 2016-05-18
1265898266 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 102 S Douglas St, Mc Leansboro, IL 62859-1637 2016-01-06
1376909374 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 416 Chula Vista Dr, Belleville, IL 62221-3160 2016-01-06
1437515434 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 206 N Washington St, Mc Leansboro, IL 62859-1049 2016-01-06
1790141885 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 212 Turning Leaf Cir, Belleville, IL 62221-6747 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
1093110066 Ottawa Friendship House Work Activity Center, Inc Intermediate Care Facility, Mentally Retarded 600 West 12th Street, Streator, IL 61364 2014-11-03
1972902534 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 11917 E Diana Rd, Mount Vernon, IL 62864-8873 2014-08-20
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Competitor

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City FAIRFIELD
Zip Code 62837

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Dataset Information

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.

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