Dungarvin New Jersey, LLC- Freedom Apt 105
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pennington, NJ. Organization (NPI-2).
Details
- NPI
- 1124698659
- Entity type
- Organization (NPI-2)
- Legal business name
- Dungarvin New Jersey, LLC- Freedom Apt 105
- Organization subpart
- Yes
- Enumeration date
- Jun 28, 2021
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
105 Heritage CtPennington, NJ 08534-5286
Phone 732-463-7227
Mailing address
Dungarvin New Jersey, LLC 1543 State Rte 27Ste 24
Somerset, NJ 08873-4015
Phone 732-463-7227
Authorized official
Lori Kress
Ceo
6516990206
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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