NPIMap

Organization Active NPI

Kreider Services Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Dixon, IL
National Provider Identifier
1487986436
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
26385 Issued in IL
Legal business name
KREIDER SERVICES INC
Practice address
922 Washington Ave
Dixon, IL 61021-1254
Phone
(815) 288-4422
NPI assigned
Feb 2, 2010
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey J Stauter
Title
Executive Director
Phone
(815) 288-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 26385 IL Primary

Addresses

Primary practice location

922 Washington Ave
Dixon, IL 61021-1254

Mailing address

PO Box 366
Dixon, IL 61021-0366
Phone (815) 288-6691

Other names 1

  • Kilker Pine Acres Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Kreider Services Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1487986436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610210366",
            "telephone_number": "815-288-6691",
            "fax_number": "815-288-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 WASHINGTON AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211254",
            "telephone_number": "815-288-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "STAUTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-288-6691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "26385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kilker Pine Acres Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.