Dungarvin Utah LLC

Primary specialty

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

Legal business name

DUNGARVIN UTAH LLC

Practice address

4001 S 700 E
Suite 548
Salt Lake City, UT 84107

Phone

(801) 264-6633

Fax

(801) 264-6601

NPI assigned

Nov 7, 2006

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

Tim Madden

Title

Ceo

Phone

(651) 699-0206

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1336218924",
    "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": "4001 S 700 E",
            "address_2": "SUITE 548",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-264-6633",
            "fax_number": "801-264-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNGARVIN UTAH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNGARVIN GROUP, INC.",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-699-0206"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Belle Dunford
• Miriam M Dunford, LCSW
• Niccole Vaun Dunford, RN
• Pamela Dunford, RN
• Wendi Ann Dunford, CSW
• Kira Dunham
• Raissa Duni
• Caitlin Emily Dunipace, CNM
• Alison Jennifer Dunkerley, D.P.M.
• Mitchell F. Dunklebarger, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.