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Tiamat Enterprises, Inc.
Home Health Agency in West Peoria, Illinois
NPI 1295062982

Tiamat Enterprises, Inc. is a Home Health Agency based in San Antonio, IL. Tiamat Enterprises, Inc. practices in West Peoria, IL. The NPI Number for Tiamat Enterprises, Inc. is 1295062982 and holds a License No. 300214 (Illinois).

The current practice location address for Tiamat Enterprises, Inc. is 2027 W Farmington Rd, West Peoria, IL and can be reached out via phone at 309-282-7970. You can also correspond with Tiamat Enterprises, Inc. through the mailing address at 201 E PARK AVE, SAN ANTONIO, TX - 78212-4657 (mailing address contact number: ).

Location: 2027 W Farmington Rd, West Peoria, IL, 78212-4657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295062982
Provider Name
Tiamat Enterprises, Inc.
Credential
Provider Entity Type
Organization
Address
2027 W Farmington Rd, West Peoria, IL, 78212-4657
Phone Number
309-282-7970
Fax Number
Provider Enumeration Date
11/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2027 W Farmington Rd
City
West Peoria
State
Illinois
Zip
61604-3958
Phone Number
309-282-7970
Fax Number
person
Provider Business Mailing Address Details
Address
201 E Park Ave
City
San Antonio
State
Texas
Zip
78212-4657
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
300214 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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