Active NPI
Dungytreei Operation Red Door, LLC
- Community Health Worker
- Jackson, MI
National Provider Identifier
1275398919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- DUNGYTREEI OPERATION RED DOOR, LLC
- Practice address
- 245 E Robinson St
Jackson, MI 49203-4364 - Phone
- (517) 240-3511
- NPI assigned
- Feb 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dena Morgan
- Title
- Chief Executive Director
- Phone
- (517) 240-3511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | Primary | ||
| Meals Provider | 174200000X | |||
| Peer Specialist | 175T00000X | |||
| Case Management Agency | 251B00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X |
Addresses
Primary practice location
245 E Robinson St
Jackson, MI 49203-4364
Mailing address
245 E Robinson St
Jackson, MI 49203-4364
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Jackson, MI
- NPI 1508627100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741910400000",
"number": "1275398919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E ROBINSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492034364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E ROBINSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492034364",
"telephone_number": "517-240-3511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNGYTREEI OPERATION RED DOOR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "DENA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "517-240-3511"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.