Hillcrest Family Services
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Dubuque, IA
NPI 1972708261 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1972708261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- HILLCREST FAMILY SERVICES
- Practice address
- 2005 Asbury Rd
Dubuque, IA 52001-3042 - Phone
- (563) 583-7357
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Ann Recker
- Title
- Insurance Coordinator
- Phone
- (563) 583-7357
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Kristine M Staheli Jackson
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
2005 Asbury Rd
Dubuque, IA 52001-3042
Mailing address
2005 Asbury Rd
Dubuque, IA 52001-3042
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0226944 | Medicaid | IA |
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All providers in Dubuque, IA · Mental Illness Community Based Residential Treatment Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.