Organization Active NPI

Dungarvin Indiana, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Martinsville, IN
National Provider Identifier
1861340929
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
DUNGARVIN INDIANA, LLC
Practice address
110 W Pike St
Martinsville, IN 46151-1461
Phone
(651) 699-0206
NPI assigned
Mar 16, 2026
Organization subpart
Yes
Parent organization
DUNGARVIN GROUP, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Lori Kress
Title
Ceo
Phone
(651) 789-5906

Corporate family (same tax ID) 17

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

National Provider Directory

National Provider Directory
Tax ID family
Dungarvin Indiana LLC (63 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

110 W Pike St
Martinsville, IN 46151-1461

Mailing address

1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032

Other names 1

NPPES NPI Registry
  • Pike Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2026.

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1861340929",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W PIKE ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511461",
            "telephone_number": "651-699-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNGARVIN INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNGARVIN GROUP, INC.",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pike",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.