HILLS AND DALES CHILD DEVELOPMENT CENTER NPI 1568116135

NPI Information

NPI: 1568116135
Provider Name: HILLS AND DALES CHILD DEVELOPMENT CENTER
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3505 STONEMAN ROAD
DUBUQUE, IA
ZIP 52002
Phone: (563) 585-0560
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HILLS AND DALES CHILD DEVELOPMENT CENTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Dubuque, IA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. HILLS AND DALES CHILD DEVELOPMENT CENTER NPI is 1568116135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3505 STONEMAN ROAD
DUBUQUE, IA
ZIP 52002
Phone: (563) 585-0560
Fax: (563) 556-1259

The provider's authorized official is Jack Mescher .
The authorized official title is Ceo and has the following contact phone number (563) 556-7878.

The enumeration date for this NPI number is 2/11/2022 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	103K00000X	Behavior Analyst	No
2	225X00000X	Occupational Therapist	No
3	106E00000X	Assistant Behavior Analyst	No
4	106S00000X	Behavior Technician	No
5	225100000X	Physical Therapist	No
6	235Z00000X	Speech-Language Pathologist	No
7	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0880260	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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