DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209
NPI 1255800520
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ewing, NJ

Active since November 16, 2018
1015 WHITEHEAD ROAD EXT APT 209, EWING, NJ 08638(732) 463-7227 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 Jersey, Llc - Whitehead Ii, Apt 209 NPPES

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

DUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209 (NPI 1255800520) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ewing, New Jersey and active in the NPI registry since November 2018. The organization lists Lori Kress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255800520
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDUNGARVIN NEW JERSEY, LLC - WHITEHEAD II, APT 209
Location Address1015 WHITEHEAD ROAD EXT APT 209Ewing, NJ 08638-2432
Mailing Address1543 State Route 27 Ste 24Somerset, NJ 08873-4015 · (732) 463-7227 · Fax (732) 463-8811
Organization SubpartYesParent: Dungarvin Group, Inc.
Authorized OfficialLori KressCeo · (651) 699-0206
Enumeration DateNovember 16, 2018
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
NPI 1255800520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

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

1015 WHITEHEAD ROAD EXT APT 209, Ewing, NJ 08638

Other Identifiers 1

Medicaid0494275NJ

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
1015 WHITEHEAD ROAD EXT APT 209
EWING, NJ 08638

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255800520, enumerated as an "organization" on November 16, 2018.

The provider is located at 1015 WHITEHEAD ROAD EXT APT 209 EWING, NJ 08638 and the phone number is (732) 463-7227.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.