KREIDER SERVICES INC NPI 1053572818

NPI Information

  • NPI: 1053572818
  • Provider Name: KREIDER SERVICES INC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 735 N DIXON AVE
    DIXON, IL
    ZIP 61021
  • Phone: (815) 288-6691

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NPI Details

KREIDER SERVICES INC is a residential treatment facility, intellectual and/or developmental disabilities in Dixon, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. KREIDER SERVICES INC NPI is 1053572818. The provider is registered as an organization entity type.

The provider's business location address is:

735 N DIXON AVE
DIXON, IL
ZIP 61021-615
Phone: (815) 288-6691
Fax: (815) 288-1636

The provider's authorized official is Jeffrey J Stauter .
The authorized official title is Executive Director and has the following contact phone number (815) 288-6691.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 8/19/2014.

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 Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities0034785ILLINOISYes

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=========002OTHERILLINOISPROVIDER

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: 3/30/2025

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