Hillside Estate Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

R-653 Issued in IA

Legal business name

HILLSIDE ESTATE INC

Practice address

2227 225TH St
Williamsburg, IA 52361-8503

Phone

(319) 668-1659

Fax

(319) 668-9863

NPI assigned

Jan 19, 2007

Last updated

Sep 11, 2025By 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

Nancy Van Patten

Title

Adminstrator

Phone

(319) 668-1659

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215080635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 225TH ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523618503",
            "telephone_number": "319-668-1659",
            "fax_number": "319-668-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 225TH ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523618503",
            "telephone_number": "319-668-1659",
            "fax_number": "319-668-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE ESTATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VAN PATTEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "319-668-1659"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": "R-653",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IA",
            "license": "R-653",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "R-653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455170",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258624",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895219",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Williamsburg, IA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.