MEDICARE: HILLS BEHAVIORAL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1780534222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLS BEHAVIORAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	17701 N ONAWAY AVE
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4851
Country	:	US
Telephone Number	:	203-963-0976
Fax Number	:

Provider Business Practice Location Address
First Line	:	17701 N ONAWAY AVE
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4851
Country	:	US
Telephone Number	:	203-963-0976
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RENE KAMENGELE
Credential	:
Telephone Number	:	203-963-0976

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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