DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209 – NPI #1255800520
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209 is a community based residential treatment facility located in EWING TOWNSHIP, NJ. NPPES has assigned the NPI number 1255800520 to DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209 on November 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Apr 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209 below.

NPI Profile for
DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209

NPI Number
1255800520
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209
Primary location
1015 WHITEHEAD ROAD EXT APT 209
EWING TOWNSHIP, NJ 08638-2432
Phone: (732) 463-7227 Fax:
Mailing address
1543 STATE ROUTE 27 STE 24
SOMERSET, NJ 08873-4015
Phone: (732) 463-7227 Fax: (732) 463-8811
Organization Subpart
Yes - DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209 is subpart of another organization.
Authorized Official
LORI KRESS
CEO
Phone: (651) 699-0206
Updated
Certification Date
Apr 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ0494275
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.