Active NPI
Dungarvin Nevada, LLC - Las Vegas
- Child Intellectual and/or Developmental Disabilities Respite Care
- North Las Vegas, NV
National Provider Identifier
1962864439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- DUNGARVIN NEVADA, LLC - LAS VEGAS
- Practice address
- 3325 W Craig Rd Ste a
North Las Vegas, NV 89032-5002 - Phone
- (702) 222-2243
- Fax
- (702) 222-0174
- NPI assigned
- Mar 24, 2016
- Organization subpart
- Yes
- Parent organization
- DUNGARVIN GROUP, INC.
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NV | Primary |
Addresses
Primary practice location
3325 W Craig Rd Ste a
North Las Vegas, NV 89032-5002
Mailing address
1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032
Phone (651) 699-0206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005047616 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Dungarvin Nevada LLC - Las Vegas
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- North Las Vegas, NV
- NPI 1245567981
-
- In Home Supportive Care Agency
- Reno, NV
- NPI 1154788958
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Reno, NV
- NPI 1972976702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1962864439",
"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": "3325 W CRAIG RD STE A",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890325002",
"telephone_number": "702-222-2243",
"fax_number": "702-222-0174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNGARVIN NEVADA, LLC - LAS VEGAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DUNGARVIN GROUP, INC.",
"enumeration_date": "2016-03-24",
"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": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9005047616",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
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.