TDL GROUP, INC. (NPI# 1124383153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124383153 |
| Entity Type | Organization |
| Organization Name | TDL GROUP, INC. |
| Other Organization Name | WOODLAND ACRES |
| Practice Address |
16711 N Old Centralia Ln Mount Vernon IL 62864-7697 |
| Mailing Address |
Po Box 705 Mount Vernon IL 62864-0015 |
| Practice Telephone | 6182461016 |
| Practice Fax Number | 6182461016 |
| Mailing Telephone | 6182447701 |
| Mailing Fax Number | 6182447704 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | TONYA LINDSEY (PRESIDENT) |
| Authorized Official Telephone | 6182447701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodland Acres | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
| 1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| 1972902534 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 11917 E Diana Rd, Mount Vernon, IL 62864-8873 | 2014-08-20 |
| 1578962288 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 709 E Saint Charles Ave, Mc Leansboro, IL 62859-1450 | 2014-08-19 |
| 1780947960 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 2625 Eastview Dr, Belleville, IL 62221-4211 | 2012-06-21 |
| 1023371218 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 5305 Richview Rd, Mount Vernon, IL 62864-9609 | 2012-06-21 |
| 1407119696 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 105 Kensington Heights Rd, Belleville, IL 62226-5030 | 2012-06-21 |
| Street Address |
16711 N OLD CENTRALIA LN |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-7697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| 1700258795 | Champaign Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 106 Mckinley Ave, Mount Vernon, OH 43050-8411 | 2015-10-29 |
| 1790156529 | Champaign Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 200 S Norton St, Mount Vernon, OH 43050-4024 | 2015-10-20 |
| 1972902534 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 11917 E Diana Rd, Mount Vernon, IL 62864-8873 | 2014-08-20 |
| 1023371218 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 5305 Richview Rd, Mount Vernon, IL 62864-9609 | 2012-06-21 |
| 1669524401 | Developmental Planning & Services Inc | Intermediate Care Facility, Mentally Retarded | 4219 Lincolnshire Dr, Mount Vernon, IL 62864-2157 | 2007-01-18 |
| 1962576769 | Jjr Enterprises Inc | Intermediate Care Facility, Mentally Retarded | 4241 Lincolnshire Dr, Mount Vernon, IL 62864-2157 | 2006-11-20 |
| 1114371382 | The Institutes of Applied Human Dynamics, Inc. | Intermediate Care Facility, Mentally Retarded | 165 Esplanade, Mount Vernon, NY 10553-1116 | 2016-04-14 |
| 1801252804 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 4241 Lincolnshire Dr, Mount Vernon, IL 62864-2157 | 2016-01-06 |
| 1164894150 | Champaign Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 710 S Main St, Mount Vernon, OH 43050-9260 | 2015-10-29 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.