DUNGARVIN OKLAHOMA LLC – NPI #1982773107
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 OKLAHOMA LLC is a community based residential treatment facility located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1982773107 to DUNGARVIN OKLAHOMA LLC on November 06, 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 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 OKLAHOMA LLC below.

NPI Profile for
DUNGARVIN OKLAHOMA LLC

NPI Number
1982773107
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 OKLAHOMA LLC
Primary location
9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK 73139-4982
Phone: (405) 759-2611 Fax: (405) 759-2650
Mailing address
1444 NORTHLAND DR STE 200
MENDOTA HEIGHTS, MN 55120-1032
Phone: (651) 699-0206 Fax: (651) 699-0799
Organization Subpart
Yes - DUNGARVIN OKLAHOMA LLC 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 OKLAHOMA LLC

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
otherOHCA PROVIDER ID #OK100631340A
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)
OK 100631340A

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.