HILLCREST FAMILY SERVICES


Address: 2543 Wilbricht Ln, Dubuque, IA 52001-3034
Phone: 5635837357

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities HILLCREST FAMILY SERVICES 2005 Asbury Rd, Dubuque, IA 52001-3042

Office Location

Street Address 2543 WILBRICHT LN
City DUBUQUE
State IA
Zip Code 52001-3034

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City DUBUQUE
Zip Code 52001

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Dataset Information

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.

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