Dungarvin Indiana, Llc in Mendota Heights - Intermediate Care Facility, Intellectual Disabilities
Dungarvin Indiana, Llc - NPI 1275743205
Dungarvin Indiana, Llc is a Intermediate Care Facility, Intellectual Disabilities in Mendota Heights, Minnesota. Dungarvin Indiana, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Dungarvin Indiana, Llc is 1275743205. The last update date is 2023-04-27.
Dungarvin Indiana, Llc's current location address is 1444 Northland Dr Ste 200, Mendota Heights, Minnesota. You can contact this provider via phone number 6516990206 and fax number 6516990799. The mailing address for Dungarvin Indiana, Llc is 1444 Northland Dr Ste 200, Mendota Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dungarvin Indiana, Llc |
|---|---|
| Address | 1444 Northland Dr Ste 200, Mendota Heights, Minnesota |
| Phone Number | 6516990206 |
| Fax Number | 6516990799 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kress Lori |
| Telephone Number | 6516990206 |
NPI Number Detail
| NPI Number | 1275743205 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2023-04-27 |
Provider Mailing Address Detail
| Address | 1444 Northland Dr Ste 200 |
|---|---|
| City | Mendota Heights |
| State | Minnesota (MN) |
| Post Code | 551201032 |
| Phone Number | 6516990206 |
| Fax Number | 6516990799 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100239960 | IN | -- | |
| 100245120 | IN | -- | |
| 100245230 | IN | -- | |
| 100244770 | IN | -- | |
| 100244780 | IN | -- | |
| 100239800 | IN | -- | |
| 100244830 | IN | -- | |
| 100244950 | IN | -- | |
| 100230070 | IN | -- |
Post Comment/ Review Below
What is the Dungarvin Indiana, Llc's unique identification number?
The Dungarvin Indiana, Llc has been assigned the NPI (National Provider Identifier) Number 1275743205 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Dungarvin Indiana, Llc is geographically located?
The Dungarvin Indiana, Llc is physically situated at the following location: 1444 Northland Dr Ste 200, Mendota Heights, MN, 551201032.
What is Dungarvin Indiana, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dungarvin Indiana, Llc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did the Dungarvin Indiana, Llc receive its 1275743205 assignment from the Centers for Medicare & Medicaid Services?
The Dungarvin Indiana, Llc was assigned its 1275743205 by the Centers for Medicare & Medicaid Services on 2007-05-22.
As of what date was the information regarding Dungarvin Indiana, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dungarvin Indiana, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-27.