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KREIDER SERVICES, INC
NPI 1700059805
Intermediate Care Facility, Intellectual Disabilities in Stockton, IL

Active since April 09, 2008
605 N MAIN ST, STOCKTON, IL 61085(815) 947-2235(815) 947-2026 Get Directions Write a Review

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

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Intermediate Care Facility, Intellectual...

About KREIDER SERVICES, INC

This page provides the complete NPI Profile along with additional information for Kreider Services, Inc, a provider established in Stockton, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1700059805 assigned on April 2008. The practitioner's primary taxonomy code is 315P00000X with license number 0047936 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Jeffrey J Stauter (Executive Director)

NPI
1700059805 Verify this NPI
Provider Name
KREIDER SERVICES, INC
Entity Type
Organization
Location Address
605 N MAIN ST STOCKTON, IL 61085
Location Phone
(815) 947-2235
Location Fax
(815) 947-2026
Mailing Address
PO BOX 366 DIXON, IL 61021
Mailing Phone
(815) 288-6691
Mailing Fax
(815) 288-1636
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2008
Last Update Date
08-19-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
0047936
License State
IL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFREY J STAUTER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(815) 288-6691

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Frequently Asked Questions

What is KREIDER SERVICES, INC's NPI number?

The NPI number assigned to this healthcare provider is 1700059805, enumerated as an "organization" on April 09, 2008.

Where is the provider located?

The provider is located at 605 N MAIN ST STOCKTON, IL 61085 and the phone number is (815) 947-2235.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.