Hillcrest Family Services
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Dubuque, IA
NPI 1992256291 · NPPES record last updated Oct 21, 2016
Key facts
- NPI
- 1992256291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- HILLCREST FAMILY SERVICES
- Practice address
- 2543 Wilbricht LN
Dubuque, IA 52001-3034 - Phone
- (563) 583-7357
- NPI assigned
- Oct 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary Gansemer, MSW
- Title
- President/Ceo
- 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 |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
2543 Wilbricht LN
Dubuque, IA 52001-3034
Mailing address
2005 Asbury Rd
Dubuque, IA 52001-3042
Phone (563) 583-7357
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- Hillcrest Opco LLC
- Kent George Hillery
- Hills and Dales Child Development Center
- Hills and Dales Child Development Center
All providers in Dubuque, IA · Emotionally Disturbed Childrens' 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 Oct 21, 2016. 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.