NPIMap

Organization Active NPI

Hillcrest Family Services

  • Psychiatric Residential Treatment Facility
  • Dubuque, IA
National Provider Identifier
1780880310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
HILLCREST FAMILY SERVICES
Practice address
2445 Hillcrest Rd
Dubuque, IA 52001
Phone
(563) 557-4388
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann Recker
Title
Insurance Coordinator
Phone
(563) 583-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

2445 Hillcrest Rd
Dubuque, IA 52001

Mailing address

2005 Asbury Rd
Dubuque, IA 52001-3042

Other identifiers 1

IdentifierTypeStateIssuer
0010082MedicaidIA

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 1780880310. Details of each certification follow.

  • CCN 16L006 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 16L006

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
HILLCREST FAMILY SERVICES-MOLITORE HOUSE
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jul 23, 2001
Last certification
Feb 4, 2025
Beds
12
Ownership / control type
For profit – individual
Facility address
2445 Hillcrest Road
Dubuque, IA 52001

National Provider Directory

National Provider Directory
Tax ID family
Kristine M Staheli Jackson22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780880310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 HILLCREST RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52001",
            "telephone_number": "563-557-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RECKER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "563-583-7357"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010082",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.