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DUNGARVIN NEW MEXICO, LLC
NPI 1033826631
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grants, NM

Active since November 02, 2022
825 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-9209 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dungarvin New Mexico, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUNGARVIN NEW MEXICO, LLC (NPI 1033826631) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Grants, New Mexico and active in the NPI registry since November 2022. The organization lists Lori Kress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033826631
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDUNGARVIN NEW MEXICO, LLC
Location Address825 E ROOSEVELT AVEGrants, NM 87020-2115
Mailing Address1444 Northland Dr Ste 200Mendota Heights, MN 55120-1032 · (651) 789-5968
Phone(505) 287-9209
Organization SubpartYesParent: Dungarvin Group, Inc.
Authorized OfficialLori KressCeo · (651) 699-0206
Enumeration DateNovember 2, 2022
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1033826631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

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

825 E ROOSEVELT AVE, Grants, NM 87020
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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MED SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
825 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-2450

Frequently Asked Questions

What is DUNGARVIN NEW MEXICO, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1033826631, enumerated as an "organization" on November 02, 2022.

Where is the provider located?

The provider is located at 825 E ROOSEVELT AVE GRANTS, NM 87020 and the phone number is (505) 287-9209.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.