NPI Information

  • NPI: 1346503521
  • Provider Name: TDL GROUP, INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: COUNTRY LANE
  • Address: RR 1 BOX 55
    MC LEANSBORO, IL
    ZIP 62859
  • Phone: (618) 643-5217

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NPI Details

TDL GROUP, INC. is an intermediate care facility mentally retarded in Mc Leansboro, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. TDL GROUP, INC. NPI is 1346503521. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Lane.

The provider's business location address is:

RR 1 BOX 55
MC LEANSBORO, IL
ZIP 62859-707
Phone: (618) 643-5217
Fax: (618) 643-5217

The provider's authorized official is Tonya Lindsey .
The authorized official title is President and has the following contact phone number (618) 244-7701.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 6/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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