Active NPI
Hills and Dales Child Development Center
- Intellectual Disabilities Intermediate Care Facility
- Dubuque, IA
National Provider Identifier
1710958632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 310131
- Legal business name
- HILLS AND DALES CHILD DEVELOPMENT CENTER
- Practice address
- 1011 Davis St
Dubuque, IA 52001-1306 - Phone
- (563) 556-7878
- Fax
- (563) 557-3822
- NPI assigned
- Jan 30, 2006
- Last updated
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Mescher
- Title
- Ceo
- Phone
- (563) 556-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 310131 | IA | Primary |
Addresses
Primary practice location
1011 Davis St
Dubuque, IA 52001-1306
Mailing address
1011 Davis St
Dubuque, IA 52001-1306
Phone (563) 556-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0880260 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1710958632. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G018
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- HILLS & DALES CHILD DEVELOPMENT CENTER
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 17, 1985
- Last certification
- Apr 10, 2025
- Beds
- 59
- Ownership / control type
- Private (non-profit)
- Facility address
- 1011 Davis Avenue
Dubuque, IA 52001
National Provider Directory
National Provider Directory- Tax ID family
- Hills and Dales Child Development Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Dubuque, IA
- NPI 1568116135
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Dubuque, IA
- NPI 1932253374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1710958632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 DAVIS ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520011306",
"telephone_number": "563-556-7878",
"fax_number": "563-557-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 DAVIS ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520011306",
"telephone_number": "563-556-7878",
"fax_number": "563-557-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLS AND DALES CHILD DEVELOPMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-30",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "MESCHER",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "563-556-7878"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "IA",
"license": "310131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0880260",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
- Hillcrest Family Services
- Hillcrest Opco LLC (Luther Manor at Hillcrest)
- Hillcrest Opco LLC (Luther Manor at Hillcrest)
- Kent George Hillery, OD
- Hills and Dales Child Development Center
- Hills and Dales Child Development Center
- Hinderman Chiropractic Inc. (Family First Chiropractic and Wellness Center)
- Jack Daniel Hinderman, D.C.
- Rebecca Jane Hines Hauder
- Emilia Elizabeth Hinton, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.