NPIMap

Organization Active NPI

TDL Group, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Mount Vernon, IL
National Provider Identifier
1972902534
Registry record updated Aug 20, 2014
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
11917 E Diana Rd
Mount Vernon, IL 62864-8873
Phone
(618) 204-5489
Fax
(618) 204-5402
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

11917 E Diana Rd
Mount Vernon, IL 62864-8873

Mailing address

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

Other names 1

  • Image House 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

11917 E Diana Rd
Mount Vernon, IL 62864
Phone (618) 204-5489

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1972902534",
    "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": "11917 E DIANA RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628648873",
            "telephone_number": "618-204-5489",
            "fax_number": "618-204-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "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": "Image House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.