NPIMap

Organization Active NPI

TDL Group, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • MC Leansboro, IL
National Provider Identifier
1376808477
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
TDL GROUP, INC.
Practice address
319 N Locust St
MC Leansboro, IL 62859-1343
Phone
(618) 643-2036
Fax
(618) 643-3084
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Tonya Lindsey
Title
President
Phone
(618) 244-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

319 N Locust St
MC Leansboro, IL 62859-1343

Mailing address

PO Box 705
Mount Vernon, IL 62864-0015
Phone (618) 244-7701

Other names 1

  • Meadowbrook Estates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TDL Group Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

411 N Locust St
Mc Leansboro, IL 62859
Phone (618) 643-1036

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1376808477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640015",
            "telephone_number": "618-244-7701",
            "fax_number": "618-244-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N LOCUST ST",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591343",
            "telephone_number": "618-643-2036",
            "fax_number": "618-643-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-244-7701"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Leansboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.