HILLSIDE SUITES LLC – NPI #1700716768
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

HILLSIDE SUITES LLC is a provider located in STILLWATER, MN. NPPES recently assigned the NPI number 1700716768 to HILLSIDE SUITES LLC on May 21, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HILLSIDE SUITES LLC below.

NPI Profile for
HILLSIDE SUITES LLC

NPI Number
1700716768
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HILLSIDE SUITES LLC
Primary location
1675 GREELEY ST S
STILLWATER, MN 55082-6091
Phone: (651) 235-0964 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEBRA CHMIELESKI
CEO
Phone: (651) 235-0964
Updated
Certification Date
May 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.