National Provider Identifier Database

DUNGARVIN NEVADA LLC LAS VEGAS
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

DUNGARVIN NEVADA, LLC - LAS VEGAS
3325 W CRAIG RD STE A
NORTH LAS VEGAS, NV89032-5002
Phone: 702-222-2243
Fax: 702-222-0174
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for DUNGARVIN NEVADA, LLC - LAS VEGAS

NPI Number 1962864439
Legal business name
LBN
DUNGARVIN NEVADA, LLC - LAS VEGAS
Authorized official LORI KRESS - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 03/24/2016
Last updated 04/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • NV Medicaid: 9005047616

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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