Organization Active NPI

TLJ Enterprises

  • In Home Supportive Care Agency
  • Park Ridge, IL
National Provider Identifier
1073857546
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HF100031 Issued in IL
Legal business name
TLJ ENTERPRISES
Practice address
900 Devon Ave
Park Ridge, IL 60068-4649
Phone
(847) 685-0593
Fax
(847) 685-0671
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Mr. Thomas A Merlin
Title
Onwner
Phone
(847) 685-0593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HF100031 IL Primary

Addresses

Primary practice location

900 Devon Ave
Park Ridge, IL 60068-4649

Mailing address

900 Devon Ave
Park Ridge, IL 60068-4649
Phone (847) 685-0593

Other names 1

  • Home Helpers of Northeastern IL 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": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1073857546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684649",
            "telephone_number": "847-685-0593",
            "fax_number": "847-685-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684649",
            "telephone_number": "847-685-0593",
            "fax_number": "847-685-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLJ ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "MERLIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ONWNER",
        "authorized_official_telephone_number": "847-685-0593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "HF100031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers of Northeastern IL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.