Active NPI
Dungarvin Wisconsin, LLC
- Home Health Agency
- Madison, WI
National Provider Identifier
1235388463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DUNGARVIN WISCONSIN, LLC
- Practice address
- 2802 Coho St Ste 101
Madison, WI 53713-4521 - Phone
- (608) 316-7666
- Fax
- (608) 316-7685
- NPI assigned
- Sep 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2802 Coho St Ste 101
Madison, WI 53713-4521
Mailing address
1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032
Phone (651) 699-0206
National Provider Directory
National Provider DirectoryLocations
2802 Coho St
Ste 101
Madison, WI 53713
Phone (608) 316-7666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1235388463",
"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": "2802 COHO ST STE 101",
"city": "MADISON",
"state": "WI",
"postal_code": "537134521",
"telephone_number": "608-316-7666",
"fax_number": "608-316-7685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNGARVIN WISCONSIN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DUNGARVIN GROUP, INC.",
"enumeration_date": "2008-09-11",
"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": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
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.