Active NPI
Dungarvin Colorado, LLC - Greeley
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greeley, CO
National Provider Identifier
1124565106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DUNGARVIN COLORADO, LLC - GREELEY
- Practice address
- 710 11TH Ave Ste 112
Greeley, CO 80631-3200 - Phone
- (970) 515-5869
- NPI assigned
- Jan 27, 2017
- Organization subpart
- Yes
- Parent organization
- DUNGARVIN GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Kress
- Title
- Ceo
- Phone
- (651) 699-0206
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
710 11TH Ave Ste 112
Greeley, CO 80631-3200
Mailing address
1444 Northland Dr
Suite 200
Mendota Heights, MN 55120-1000
National Provider Directory
National Provider Directory- Tax ID family
- Dungarvin Colorado LLC - Colorado Springs
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Colorado Springs, CO
- NPI 1235676206
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denver, CO
- NPI 1245309822
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Oklahoma City, OK
- NPI 1992870679
Locations
710 11th Ave
Ste 112
Greeley, CO 80631
Phone (970) 515-5869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1124565106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 NORTHLAND DR",
"address_2": "SUITE 200",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 11TH AVE STE 112",
"city": "GREELEY",
"state": "CO",
"postal_code": "806313200",
"telephone_number": "970-515-5869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNGARVIN COLORADO, LLC - GREELEY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DUNGARVIN GROUP, INC.",
"enumeration_date": "2017-01-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "KRESS",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-699-0206"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.