DUNGARVIN INDIANA, LLC
NPI 1134077225
Intermediate Care Facility, Intellectual Disabilities in Anderson, IN

Q: What is Dungarvin Indiana, LLC's NPI number?

The NPI number for Dungarvin Indiana, LLC is 1134077225. It was assigned to this organization in the NPPES registry on March 17, 2026. The provider is also known as Country Club.

Q: What is Dungarvin Indiana, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since March 17, 2026

511 COUNTRY CLUB LN, ANDERSON, IN 46011(651) 699-0206 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dungarvin Indiana, Llc NPPES

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

DUNGARVIN INDIANA, LLC (NPI 1134077225) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Anderson, Indiana and active in the NPI registry since March 2026. The organization lists Lori Kress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134077225

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameDUNGARVIN INDIANA, LLC

Location Address511 COUNTRY CLUB LNAnderson, IN 46011-3405

Mailing Address1444 Northland Dr Ste 200Mendota Heights, MN 55120-1032

Phone(651) 699-0206

Organization SubpartYesParent: Dungarvin Group, Inc.

Authorized OfficialLori KressCeo · (651) 789-5906

Enumeration DateMarch 17, 2026

NPPES CertifiedMarch 17, 2026

✔ NPI 1134077225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

511 COUNTRY CLUB LN, Anderson, IN 46011

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Other Names 1

Other NameCountry Club

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REM OCCAZIO, INC.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

511 COUNTRY CLUB LN
ANDERSON, IN 46011

Madison County (765) 521-0320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dungarvin Indiana, LLC's NPI number?

The NPI number for Dungarvin Indiana, LLC is 1134077225. It was assigned to this organization in the NPPES registry on March 17, 2026. The provider is also known as Country Club.

Where is Dungarvin Indiana, LLC located?

Dungarvin Indiana, LLC is located at 511 Country Club Ln, Anderson, IN 46011. The listed phone number is (651) 699-0206.

What is Dungarvin Indiana, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Dungarvin Indiana, LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.