Tiamat Enterprises, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3000214 Issued in IL

Legal business name

TIAMAT ENTERPRISES, INC.

Practice address

1717 R T Dunn Dr
Suite 201-2
Bloomington, IL 61701-8709

Phone

(309) 550-5128

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Addresses

Other names 1

• Caring Senior Service of Bloomington Doing business as

Locations

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1629308374",
    "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": "1717 R T DUNN DR",
            "address_2": "SUITE 201-2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617018709",
            "telephone_number": "309-550-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIAMAT ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "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": "3000214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Senior Service of Bloomington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul D Thompson
• Sara Thompson, LCPC
• Tameka Thompson
• Sandeep Thota
• Thrive Child Psychology, LLC
• Elana Joy Tiberi, DPT
• Tiffany McBride
• Vicki Lynn Tilton, COSMETIC TECHNICIAN
• Marissa C Timmers
• Hope Tippett

• Home Health Agency in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Home Health Agency in Illinois

• 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.