KREIDER SERVICES INC (NPI# 1053572818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053572818 |
| Entity Type | Organization |
| Organization Name | KREIDER SERVICES INC |
| Practice Address |
735 N Dixon Ave Dixon IL 61021-1615 |
| Mailing Address |
Po Box 366 Dixon IL 61021-0366 |
| Practice Telephone | 8152886691 |
| Practice Fax Number | 8152881636 |
| Mailing Telephone | 8152886691 |
| Mailing Fax Number | 8152881636 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | MR. JEFFREY J STAUTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8152886691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 0034785 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104158153 | Kreider Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 N 1st St, Ashton, IL 61006-9476 | 2010-02-02 |
| 1831421882 | Kreider Services Inc | Intermediate Care Facility, Mentally Retarded | 205 E Wasson Rd, Amboy, IL 61310-1229 | 2010-02-02 |
| 1295067247 | Kreider Services Inc | Intermediate Care Facility, Mentally Retarded | 726 N Ottawa Ave, Dixon, IL 61021-1632 | 2010-02-02 |
| 1902075047 | Kreider Services Inc | Intermediate Care Facility, Mentally Retarded | 200 W Hawley, Amboy, IL 61310-1158 | 2008-02-22 |
| 1750446373 | Kreider Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 Anchor Road, Dixon, IL 61021-8829 | 2006-12-26 |
| 1487986436 | Kreider Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 922 Washington Ave, Dixon, IL 61021-1254 | 2010-02-02 |
| Street Address |
735 N DIXON AVE |
| City | DIXON |
| State | IL |
| Zip Code | 61021-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487986436 | Kreider Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 922 Washington Ave, Dixon, IL 61021-1254 | 2010-02-02 |
| 1770628398 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1619012234 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1528103140 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1831234475 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1285779892 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1326183948 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1104961820 | Jack Mabley Dvelopmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218273 | Dymond Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4223 S Prairie Ave, Chicago, IL 60653-3211 | 2019-11-06 |
| 1447782396 | Light of Hope | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22858 Millard Ave, Richton Park, IL 60471-2531 | 2017-03-30 |
| 1760831945 | Nucare Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18118 Orleans Dr, Hazel Crest, IL 60429-2242 | 2016-06-08 |
| 1649629346 | Catina Ballin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8808 Riley Road, Wonderlake, IL 60097 | 2016-06-03 |
| 1003262254 | Patterson House Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 717 E 1st South St, Carlinville, IL 62626-1922 | 2016-05-06 |
| 1235592288 | Ray Graham Association | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 901 Warrenville Rd, Suite 500, Lisle, IL 60532-4301 | 2016-03-29 |
| 1962867796 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1315 N Curran Rd, Mchenry, IL 60050-6520 | 2015-12-21 |
| 1942675228 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 N Hart St, Harvard, IL 60033-2227 | 2015-12-11 |
| 1518332881 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 851 W Main St, Cary, IL 60013-1920 | 2015-12-11 |
| 1083089361 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 455 Huntley Rd, Crystal Lake, IL 60014-5318 | 2015-12-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KREIDER SERVICES INC.
| 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.