NPIMap

Organization Active NPI

Tiamat Enterprises, Inc.

Doing business as Caring Senior Service of Peoria

  • Home Health Agency
  • West Peoria, IL
National Provider Identifier
1295062982
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
300214 Issued in IL
Legal business name
TIAMAT ENTERPRISES, INC.
Doing business as
Caring Senior Service of Peoria
Practice address
2027 W Farmington Rd
Suite C
West Peoria, IL 61604-3958
Phone
(309) 282-7970
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Jeffrey Adam Salter
Title
President
Phone
(210) 757-4650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 300214 IL Primary

Addresses

Primary practice location

2027 W Farmington Rd
Suite C
West Peoria, IL 61604-3958

Mailing address

201 E Park Ave
San Antonio, TX 78212-4657

Other names 1

  • Caring Senior Service of Peoria Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caring Senior Service of Amarillo5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2027 W Farmington Rd
Ste C
West Peoria, IL 61604
Phone (309) 282-7970

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1295062982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E PARK AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 W FARMINGTON RD",
            "address_2": "SUITE C",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616043958",
            "telephone_number": "309-282-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIAMAT ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-757-4650"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "300214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Senior Service of Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.