DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC – NPI #1326486069
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 WASHINGTON SUPPORTED LIVING, LLC is a community based residential treatment facility located in SPOKANE, WA. NPPES has assigned the NPI number 1326486069 to DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC on June 04, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 last updated on Oct 08, 2024. 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 WASHINGTON SUPPORTED LIVING, LLC below.

NPI Profile for
DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC

NPI Number
1326486069
Enumeration Date

(more than 13 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 WASHINGTON SUPPORTED LIVING, LLC
Primary location
528 E SPOKANE FALLS BLVD STE 504
SPOKANE, WA 99202-5050
Phone: (509) 328-2740 Fax: (509) 789-3323
Mailing address
1444 NORTHLAND DR STE 200
MENDOTA HEIGHTS, MN 55120-1032
Phone: (651) 699-0206 Fax: (651) 699-0799
Organization Subpart
Yes - DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC is subpart of another organization.
Authorized Official
LORI KRESS
CEO
Phone: (651) 789-5906
Updated
Certification Date
Oct 08, 2024

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.

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.

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.