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DUNGARVIN NEW JERSEY, LLC-RANCOCAS DAY PROGRAM
NPI 1174976963
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willingboro, NJ

Active since July 18, 2016
1000 REV DR MARTIN LUTHER KING JR DR, WILLINGBORO, NJ 08046(609) 871-2752 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2018, Aug 9, 2016 (2 updates tracked since 2016).

About Dungarvin New Jersey, Llc-rancocas Day Program NPPES

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

DUNGARVIN NEW JERSEY, LLC-RANCOCAS DAY PROGRAM (NPI 1174976963) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Willingboro, New Jersey and active in the NPI registry since July 2016. The organization lists Lori Kress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174976963
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDUNGARVIN NEW JERSEY, LLC-RANCOCAS DAY PROGRAM
Location Address1000 REV DR MARTIN LUTHER KING JR DRWillingboro, NJ 08046
Mailing Address1543 State Route 27, Suite 24Somerset, NJ 08873-4015 · (732) 463-7227
Phone(609) 871-2752
Organization SubpartYesParent: Dungarvin Group, Inc.
Authorized OfficialLori KressCeo · (651) 699-0206
Enumeration DateJuly 18, 2016
Last NPPES UpdateApril 27, 20232 updates tracked since enumeration
NPPES CertifiedApril 27, 2023
✔ NPI 1174976963 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.
1000 REV DR MARTIN LUTHER KING JR DR, Willingboro, NJ 08046
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Other Identifiers 1

Medicaid0494275NJ

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 New Jersey, Llc-Rancocas Day Program's NPI number?

The NPI number for Dungarvin New Jersey, Llc-Rancocas Day Program is 1174976963. It was assigned to this organization in the NPPES registry on July 18, 2016.

Where is Dungarvin New Jersey, Llc-Rancocas Day Program located?

Dungarvin New Jersey, Llc-Rancocas Day Program is located at 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046. The listed phone number is (609) 871-2752.

What is Dungarvin New Jersey, Llc-Rancocas Day Program's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Dungarvin New Jersey, Llc-Rancocas Day Program was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.