TDL Group, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

TDL GROUP, INC.

Doing business as

Matrix Place

Practice address

867 County Road 2150 E
Fairfield, IL 62837-2824

Phone

(618) 842-4823

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Matrix Place Doing business as

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.

• T

  dba Reflection

  • Intellectual Disabilities Intermediate Care Facility
  • Fairfield, IL
  • NPI 1356707350
  NPD tax ID
• TDL Group, Inc

  dba Zoom Place

  • Intellectual Disabilities Intermediate Care Facility
  • Belleville, IL
  • NPI 1376909374
  NPD tax ID
• TDL Group, Inc

  dba Flare House

  • Intellectual Disabilities Intermediate Care Facility
  • Belleville, IL
  • NPI 1790141885
  NPD tax ID
• TDL Group, Inc.

  dba Richview

  • Intellectual Disabilities Intermediate Care Facility
  • Mount Vernon, IL
  • NPI 1023371218
  NPD tax ID
• TDL Group, Inc.

  dba Trafford Estates

  • Intellectual Disabilities Intermediate Care Facility
  • Fairfield, IL
  • NPI 1033474051
  NPD tax ID
• TDL Group, Inc.

  dba Woodland Acres

  • Intellectual Disabilities Intermediate Care Facility
  • Mount Vernon, IL
  • NPI 1124383153
  NPD tax ID
• TDL Group, Inc.

  dba Spectrum CILA

  • Intellectual Disabilities Intermediate Care Facility
  • Nashville, IL
  • NPI 1144629718
  NPD tax ID
• TDL Group, Inc.

  dba Proof Point

  • Intellectual Disabilities Intermediate Care Facility
  • Fairfield, IL
  • NPI 1164888160
  NPD tax ID
• TDL Group, Inc.

  dba Viewfinder

  • Intellectual Disabilities Intermediate Care Facility
  • McLeansboro, IL
  • NPI 1184080186
  NPD tax ID
• TDL Group, Inc.

  dba Shutterview

  • Intellectual Disabilities Intermediate Care Facility
  • Mount Vernon, IL
  • NPI 1255797254
  NPD tax ID
• TDL Group, Inc.

  dba Highlight House

  • Intellectual Disabilities Intermediate Care Facility
  • McLeansboro, IL
  • NPI 1265898266
  NPD tax ID
• TDL Group, Inc.

  dba Flash Estates

  • Intellectual Disabilities Intermediate Care Facility
  • Belleville, IL
  • NPI 1275999278
  NPD tax ID

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1790141794",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 COUNTY ROAD 2150 E",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372824",
            "telephone_number": "618-842-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "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": "Matrix Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianne M Taylor, RN
• Jala Beth Taylor, LPN
• James Charles Taylor, PHARMD
• TDL Group, Inc. (Trafford Estates)
• TDL Group, Inc. (Proof Point)
• Gilbert Tennyson, BSW
• Kimberly Gaye Tennyson, M.ED.
• The Heart Group
• The Medicine Shoppe
• Emily S Thomann, DPT

• Intellectual Disabilities Intermediate Care Facility in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Intellectual Disabilities Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.