HILLCREST FAMILY SERVICES (NPI# 1992256291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992256291 |
Entity Type | Organization |
Organization Name | HILLCREST FAMILY SERVICES |
Practice Address |
2543 Wilbricht Ln Dubuque IA 52001-3034 |
Mailing Address |
2005 Asbury Rd Dubuque IA 52001-3042 |
Practice Telephone | 5635837357 |
Mailing Telephone | 5635837357 |
Mailing Fax Number | 8882433455 |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |
Authorized Official Name | MR. GARY GANSEMER (PRESIDENT/CEO) |
Authorized Official Telephone | 5635837357 |
Authorized Official Credential | MSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194230656 | Hillcrest Family Services | Community/Behavioral Health | 1160 Seippel Rd, Dubuque, IA 52002-9788 | 2017-12-06 |
1730550252 | Hillcrest Family Services | Clinic/Center | 5900 Saratoga Rd Ste 11, Asbury, IA 52002-2124 | 2015-10-09 |
1497095046 | Hillcrest Family Services | Community/Behavioral Health | 13034 Seippel Rd, Dubuque, IA 52002-9687 | 2013-02-19 |
1538325915 | Hillcrest Family Services | Community/Behavioral Health | 117 S Olive St, Maquoketa, IA 52060-3015 | 2008-08-05 |
1780880310 | Hillcrest Family Services | Psychiatric Residential Treatment Facility | 2445 Hillcrest Rd, Dubuque, IA 52001 | 2007-06-21 |
1023232824 | Hillcrest Family Services | Clinic/Center | 2175 Lexington Blvd # 4, Washington, IA 52353-9100 | 2007-04-12 |
1326096116 | Hillcrest Family Services | Psychiatry & Neurology | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2006-05-04 |
1497354773 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2020-10-19 |
1700433570 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2019-08-26 |
1104331651 | Hillcrest Family Services | Skilled Nursing Facility | 1160 Seippel Rd, Dubuque, IA 52002-9788 | 2017-12-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HILLCREST FAMILY SERVICES | 2005 Asbury Rd, Dubuque, IA 52001-3042 |
Street Address |
2543 WILBRICHT LN |
City | DUBUQUE |
State | IA |
Zip Code | 52001-3034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
Find all providers in zip 52001 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497959050 | Midwest Christian Services | Residential Treatment Facility, Emotionally Disturbed Children | 4509 20th Ave, Peterson, IA 51047-7524 | 2007-06-14 |
1851415947 | Youth Homes of Mid-america | Residential Treatment Facility, Emotionally Disturbed Children | 7225 Nw 58th St, Johnston, IA 50131-1948 | 2007-03-16 |
1255472882 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2007-02-08 |
1104973148 | Rabiner Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2007-01-04 |
1669531000 | Youth Services International, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4502 230th St, Wallingford, IA 51365-7539 | 2006-12-08 |
1831665785 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2018-10-18 |
1962806158 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2014-10-16 |
1245426238 | Youth and Family Resource Services | Residential Treatment Facility, Emotionally Disturbed Children | 200 6th St, Gruver, IA 51334-8518 | 2007-09-24 |
1992839872 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-15 |
1023187507 | Lutheran Services In Iowa | Residential Treatment Facility, Emotionally Disturbed Children | 3125 Cottage Grove Ave, Des Moines, IA 50311-3809 | 2006-11-07 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.