NPIMap

Organization Active NPI

Dungarvin New Jersey, LLC- Freedom Apt 105

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pennington, NJ
National Provider Identifier
1124698659
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DUNGARVIN NEW JERSEY, LLC- FREEDOM APT 105
Practice address
105 Heritage CT
Pennington, NJ 08534-5286
Phone
(732) 463-7227
NPI assigned
Jun 28, 2021
Organization subpart
Yes
Parent organization
DUNGARVIN GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

105 Heritage CT
Pennington, NJ 08534-5286

Mailing address

Dungarvin New Jersey, LLC 1543 State Rte 27
Ste 24
Somerset, NJ 08873-4015
Phone (732) 463-7227

National Provider Directory

National Provider Directory
Tax ID family
Dungarvin New Jersey LLC - Alberta40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1124698659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUNGARVIN NEW JERSEY, LLC 1543 STATE RTE 27",
            "address_2": "STE 24",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734015",
            "telephone_number": "732-463-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HERITAGE CT",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345286",
            "telephone_number": "732-463-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNGARVIN NEW JERSEY, LLC- FREEDOM APT 105",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNGARVIN GROUP, INC",
        "enumeration_date": "2021-06-28",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

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.

Verify at the official NPI Registry.