TDL GROUP, INC


Address: 212 Turning Leaf Cir, Belleville, IL 62221-6747
Phone: 6184167909

TDL GROUP, INC (NPI# 1790141885) 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) 1790141885
Entity Type Organization
Organization Name TDL GROUP, INC
Other Organization Name FLARE HOUSE
Practice Address 212 Turning Leaf Cir
Belleville
IL 62221-6747
Mailing Address Po Box 705
Mount Vernon
IL 62864-0015
Practice Telephone 6184167909
Mailing Telephone 6182447701
Enumeration Date 2016-01-06
Last Update Date 2016-01-06
Authorized Official Name TONYA LINDSEY (PRESIDENT)
Authorized Official Telephone 6189220143
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
Flare House Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376909374 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 416 Chula Vista Dr, Belleville, IL 62221-3160 2016-01-06

Office Location

Street Address 212 TURNING LEAF CIR
City BELLEVILLE
State IL
Zip Code 62221-6747

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679134829 Dr. Cynthia C. Banderet, Dmd, PC Clinic/Center 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 2019-06-27
1942763487 John Joseph Oldani Psychologist Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 2019-04-11
1114497781 Kendra D Edwards Counselor 900 Royal Height Rd Suite 2150, Belleville, IL 62221 2018-11-27
1326537358 Barbara S Laidlaw Counselor 2362 Country Rd, Belleville, IL 62221 2018-05-04
1083133946 Kierra Jackson In Home Supportive Care 2611 Sierra Drive Apt. F, Belleville, IL 62221 2017-09-12
1972022994 Kathleen Denise Defranco Speech-Language Pathologist 2028 Lebanon Ave., Belleville, IL 62221 2017-09-11
1700302270 Mark Hofelich Pharmacist 515 Carlyle Avenue, Belleville, IL 62221 2017-08-16
1912422247 Cherie Ann Klosterman Psychologist Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 2017-08-08
1134391329 Barbara Beckley Home Health Aide 2726 Cascade Lake Drive, Shiloh, IL 62221 2008-03-27
1356561666 Belleville Area Spc Srv Co - Adm Local Education Agency (LEA) 2411 Pathways Crossing, Belleville, IL 62221 2007-04-27
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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
1376909374 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 416 Chula Vista Dr, Belleville, IL 62221-3160 2016-01-06
1780947960 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 2625 Eastview Dr, Belleville, IL 62221-4211 2012-06-21
1407119696 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 105 Kensington Heights Rd, Belleville, IL 62226-5030 2012-06-21
1508939174 Jjr Enterprises Inc Intermediate Care Facility, Mentally Retarded 225 W B St, Belleville, IL 62220-1337 2006-11-15
1275999278 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 225 W B St, Belleville, IL 62220-1337 2016-01-06
1558626671 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 225 W B St, Belleville, IL 62220-1337 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
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
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 BELLEVILLE
Zip Code 62221

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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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