Dungarvin New Jersey, Llc-Kenmore

LBN: Dungarvin New Jersey, Llc-Kenmore
Dungarvin New Jersey, Llc-Kenmore is an health care organization with primary practice located at 31 Kenmore Rd , Edison NJ 08817. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Dungarvin New Jersey, Llc-Kenmore can be contacted via phone (732) 287-3254, or through Kress, Lori via phone (651) 699-0206.

Contact Information

Primary practice address
31 Kenmore Rd Edison NJ 08817
Phone: (732) 287-3254
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kress, Lori
Phone: (651) 699-0206

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1568818375
LBN Legal business name Dungarvin New Jersey, Llc-Kenmore
DBA Doing business as
Authorized official Kress, Lori
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2016
Last updated Apr 27th, 2023 - about 2 years ago

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 1568818375 NPPES
New Jersey MEDICAID 0494275

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