DUNGARVIN UTAH LLC – NPI #1336218924
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 UTAH LLC is a community based residential treatment facility located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1336218924 to DUNGARVIN UTAH LLC on November 07, 2006. 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 8 years ago on Jul 13, 2018. 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 UTAH LLC below.

NPI Profile for
DUNGARVIN UTAH LLC

NPI Number
1336218924
Enumeration Date

(more than 19 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 UTAH LLC
Primary location
4001 S 700 E
SUITE 548
SALT LAKE CITY, UT 84107
Phone: (801) 264-6633 Fax: (801) 264-6601
Mailing address
1444 NORTHLAND DR STE 200
MENDOTA HEIGHTS, MN 55120-1032
Phone: (651) 699-0206 Fax: (651) 699-0799
Organization Subpart
Yes - DUNGARVIN UTAH LLC is subpart of another organization.
Authorized Official
TIM MADDEN
CEO
Phone: (651) 699-0206
Updated
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.