NPIMap

Organization Active NPI

Dungarvin Colorado, LLC - Colorado Springs

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Colorado Springs, CO
National Provider Identifier
1235676206
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 COLORADO, LLC - COLORADO SPRINGS
Practice address
4740 Flintridge Dr Ste 120
Colorado Springs, CO 80918-4254
Phone
(719) 632-5205
Fax
(719) 632-5273
NPI assigned
Jan 27, 2017
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DUNGARVIN GROUP, INC.As 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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary
Homemaker 376J00000X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

4740 Flintridge Dr Ste 120
Colorado Springs, CO 80918-4254

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 Springs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4740 Flintridge Dr
Ste 120
Colorado Springs, CO 80918
Phone (719) 632-5205

805 N Murray Blvd
Ste 201
Colorado Springs, CO 80915

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": "1235676206",
    "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": "4740 FLINTRIDGE DR STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184254",
            "telephone_number": "719-632-5205",
            "fax_number": "719-632-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNGARVIN COLORADO, LLC - COLORADO SPRINGS",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, 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.

Verify at the official NPI Registry.