NPIMap

Organization Active NPI

Hills and Dales Child Development Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dubuque, IA
National Provider Identifier
1932253374
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
310131 Issued in IA
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 23, 2007
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 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

IdentifierTypeStateIssuer
0083840MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Hills and Dales Child Development Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1660 Embassy West Dr
Dubuque, IA 52002
Phone (563) 556-7878

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1932253374",
    "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": "2007-01-23",
        "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": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "310131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083840",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.