NPIMap

Organization Active NPI

Kreider Services Inc

  • Early Intervention Provider Agency
  • Dixon, IL
National Provider Identifier
1750446373
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KREIDER SERVICES INC
Practice address
500 Anchor Road
Dixon, IL 61021-8829
Phone
(815) 288-6691
Fax
(815) 288-1636
NPI assigned
Dec 26, 2006
Last updated
Aug 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Ms. Trina R Obrien
Title
Community Services Manager
Phone
(815) 288-6691

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IL
Developmentally Disabled Services Day Training Agency 251C00000X IL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X IL
Durable Medical Equipment & Medical Supplies 332B00000X
Clinical Child & Adolescent Psychologist 103TC2200X 071007493 IL
Physical Therapist 225100000X 070002814 IL
Occupational Therapist 225X00000X 056005546 IL
Occupational Therapist 225X00000X 056006700 IL
Speech-Language Pathologist 235Z00000X 14600657 IL
Speech-Language Pathologist 235Z00000X 146008250 IL
Early Intervention Provider Agency 252Y00000X IL Primary
Developmental Therapist 222Q00000X IL

Addresses

Primary practice location

500 Anchor Road
Dixon, IL 61021-8829

Mailing address

500 Anchor Road
Dixon, IL 61021-8829
Phone (815) 288-6691

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1750446373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ANCHOR ROAD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610218829",
            "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": "500 ANCHOR ROAD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610218829",
            "telephone_number": "815-288-6691",
            "fax_number": "815-288-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COMMUNITY SERVICES MANAGER",
        "authorized_official_telephone_number": "815-288-6691",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071007493",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070002814",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005546",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006700",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14600657",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008250",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2016; 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.