Dungarvin Washington Supported Living, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC

Practice address

528 E Spokane Falls Blvd Ste 504
Spokane, WA 99202-5050

Phone

(509) 328-2740

Fax

(509) 789-3323

NPI assigned

Jun 4, 2013

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) 789-5906

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1326486069",
    "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": "528 E SPOKANE FALLS BLVD STE 504",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025050",
            "telephone_number": "509-328-2740",
            "fax_number": "509-789-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNGARVIN  GROUP, INC.",
        "enumeration_date": "2013-06-04",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "KRESS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-789-5906"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leah Duncan, RN
• Staci Irene Duncan, ARNP
• Justin Dea Dunfee, BS, CBT
• Dungarvin Oregon 2, LLC
• Dungarvin Washington Children'S Services, LLC
• Elizabeth Ann Dunham, M.D.
• Emily Dunham
• Lindsey Ann Dunham, MD
• Shannon B Dunkin, MS, LMHC
• Angela Dunkle

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Spokane, WA
• Providers in Spokane, WA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.