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KREIDER SERVICES INC
NPI 1053572818
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dixon, IL

Active since June 24, 2008CLIA 14D1048026 · Waiver
735 N DIXON AVE, DIXON, IL 61021(815) 288-6691(815) 288-1636 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kreider Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KREIDER SERVICES INC (NPI 1053572818) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Dixon, Illinois and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Jeffrey J Stauter, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053572818
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameKREIDER SERVICES INC
Location Address735 N DIXON AVEDixon, IL 61021-1615
Mailing AddressPo Box 366Dixon, IL 61021-0366 · (815) 288-6691 · Fax (815) 288-1636
Phone(815) 288-6691
Fax(815) 288-1636
Organization SubpartNo
Authorized OfficialJeffrey J StauterExecutive Director · (815) 288-6691
Enumeration DateJune 24, 2008
Last NPPES UpdateAugust 19, 2014
✔ NPI 1053572818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in IL · 0034785
Definition

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.

735 N DIXON AVE, Dixon, IL 61021
Open in Google Maps ↗

Other Identifiers 1

Other=========002IL · Provider

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1048026

Kreider Services, Inc · Dixon, IL
Active · expires Nov 20, 2027
CLIA Number14D1048026
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorSelena A. Mulnix
Laboratory Phone(815) 288-6691
Laboratory LocationKreider Services, Inc500 Anchor Rd, Dixon, IL 61021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kreider Services Inc's NPI number?

The NPI number for Kreider Services Inc is 1053572818. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Kreider Services Inc located?

Kreider Services Inc is located at 735 N Dixon Ave, Dixon, IL 61021. The listed phone number is (815) 288-6691.

What is Kreider Services Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Kreider Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1048026) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kreider Services Inc was last updated on August 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.