Dungarvin Indiana, Llc

LBN: Dungarvin Indiana, Llc
Dungarvin Indiana, Llc is an health care organization with primary practice located at 3575 Moreau Ct Ste 200 , South Bend IN 46628-4387. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Dungarvin Indiana, Llc can be contacted via phone (574) 245-5400, or through Kress, Lori via phone (651) 699-0206.

Contact Information

Primary practice address
3575 Moreau Ct Ste 200 South Bend IN 46628-4387
Phone: (574) 245-5400
Fax: (574) 245-5440
Website:
Map and Directions
Authorized official contact:
Name: Kress, Lori
Phone: (651) 699-0206

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1275743205
LBN Legal business name Dungarvin Indiana, Llc
DBA Doing business as
Authorized official Kress, Lori
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2007
Last updated Apr 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275743205 NPPES
Indiana MEDICAID 100239960
Indiana MEDICAID 100245120
Indiana MEDICAID 100245230
Indiana MEDICAID 100244770
Indiana MEDICAID 100244780
Indiana MEDICAID 100239800
Indiana MEDICAID 100244830
Indiana MEDICAID 100244950
Indiana MEDICAID 100230070

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