DUNGARVIN NEW MEXICO LLC NPI 1508573106

NPI Information

  • NPI: 1508573106
  • Provider Name: DUNGARVIN NEW MEXICO LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 614 DEKALB RD
    FARMINGTON, NM
    ZIP 87401
  • Phone: (505) 436-2245

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NPI Details

DUNGARVIN NEW MEXICO LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Farmington, NM. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DUNGARVIN NEW MEXICO LLC NPI is 1508573106. The provider is registered as an organization entity type.

The provider's business location address is:

614 DEKALB RD
FARMINGTON, NM
ZIP 87401-600
Phone: (505) 436-2245

The provider's authorized official is Lori Kress .
The authorized official title is Ceo and has the following contact phone number (651) 699-0206.

The enumeration date for this NPI number is 11/2/2022 and was last updated on 4/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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