Dungarvin Minnesota LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DUNGARVIN MINNESOTA LLC

Practice address

1440 Northland Dr Ste 100
Mendota Heights, MN 55120-1028

Phone

(651) 699-6050

Fax

(651) 699-7265

NPI assigned

Aug 26, 2005

Organization subpart

Yes

Parent organization

DUNGARVIN GROUP, INC.As reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Dungarvin Minnesota Home Health Care Other name

Locations

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1235122003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 NORTHLAND DR STE 200",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201032",
            "telephone_number": "651-699-0206",
            "fax_number": "651-699-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 NORTHLAND DR STE 100",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201028",
            "telephone_number": "651-699-6050",
            "fax_number": "651-699-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNGARVIN MINNESOTA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNGARVIN GROUP, INC.",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER (CCN)",
            "identifier": "24-8106",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dungarvin Minnesota Home Health Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dungarvin Minnesota Home Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.