Organization Active NPI

Kingston Hill, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Cedar Rapids, IA
National Provider Identifier
1861824617
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
KINGSTON HILL, INC.
Practice address
202 12TH St NW
Cedar Rapids, IA 52405-3913
Phone
(319) 362-1382
Fax
(319) 362-0700
NPI assigned
Aug 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

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

Authorized official

Name
Ms. Marilyn Patterson
Title
Executive Director
Phone
(319) 362-1382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

202 12TH St NW
Cedar Rapids, IA 52405-3913

Mailing address

202 12TH St NW
Cedar Rapids, IA 52405-3913
Phone (319) 362-1382

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2165466Kingston Hill Residential Care Facility202 12TH Street NW, Cedar Rapids, IA 52405Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375574400000",
    "number": "1861824617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 12TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053913",
            "telephone_number": "319-362-1382",
            "fax_number": "319-362-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 12TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053913",
            "telephone_number": "319-362-1382",
            "fax_number": "319-362-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON HILL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-04",
        "last_updated": "2013-08-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-362-1382",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.