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KINGSTON HILL INC. NPI 1861824617


NPI Information

NPI: 1861824617
Provider Name: KINGSTON HILL, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 16D2165466

Address:
202 12TH ST NW
CEDAR RAPIDS, IA
ZIP 52405
Phone: (319) 362-1382
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KINGSTON HILL, INC. is a community based residential treatment facility mental illness in Cedar Rapids, IA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. KINGSTON HILL, INC. NPI is 1861824617. The provider is registered as an organization entity type.

The provider's business location address is:

202 12TH ST NW
CEDAR RAPIDS, IA
ZIP 52405-913
Phone: (319) 362-1382
Fax: (319) 362-0700

The provider's authorized official is Marilyn Patterson .
The authorized official title is Executive Director and has the following contact phone number (319) 362-1382.

The CLIA number assigned to this NPI record is 16D2165466 - other - residential care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2013 and was last updated on 8/4/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 4/28/2024

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