Active NPI
Kingston Hill, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Cedar Rapids, IA
National Provider Identifier
1861824617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2165466 | Kingston Hill Residential Care Facility | Certificate of waiver | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.