DUNGARVIN KENTUCKY, LLC - LOUISVILLE NPI 1003424144

Day Training, Developmentally Disabled Services in Louisville, KY

NPI 1003424144 Organization Day Training, Developmentally Disabled S...

About DUNGARVIN KENTUCKY, LLC - LOUISVILLE

Dungarvin Kentucky, Llc - Louisville is a provider established in Louisville, Kentucky specializing in day training, developmentally disabled services. The NPI number of Dungarvin Kentucky, Llc - Louisville is 1003424144 and was assigned on July 2020. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Tim Madden (Cfo)

NPI

1003424144

Provider NameDUNGARVIN KENTUCKY, LLC - LOUISVILLE
Provider Location Address901 LILY CREEK RD STE 202 LOUISVILLE, KY 40243
Provider Mailing Address1444 NORTHLAND DR STE 200 MENDOTA HEIGHTS, MN 55120
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date07-15-2020
Last Update Date07-15-2020


Primary Taxonomy

Taxonomy Code251C00000X
ClassificationDay Training, Developmentally Disabled Services
TypeAgencies
Taxonomy DescriptionThese agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Business Address

DUNGARVIN KENTUCKY, LLC - LOUISVILLE
901 LILY CREEK RD STE 202
LOUISVILLE, KY
ZIP 40243
Phone: (502) 618-2708

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Mailing Address

DUNGARVIN KENTUCKY, LLC - LOUISVILLE
1444 NORTHLAND DR STE 200
MENDOTA HEIGHTS, MN
ZIP 55120
Phone: (651) 699-0206
Fax: (651) 699-0799



Authorized Official

Authorized Official Name TIM MADDEN
Authorized Official TitleCFO
Authorized Official Phone(651) 699-0206

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.