Dungarvin New Jersey, LLC - Clubhouse
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willingboro, New Jersey
1477142446- Practice location
- 19 Club House Dr, Willingboro, NJ 08046-3403
- Phone
- 732-463-7227
- Fax
- —
- Last updated
- April 27, 2023
Dungarvin New Jersey, LLC - Clubhouse is a healthcare organization based in Willingboro, NJ. Dungarvin New Jersey, LLC - Clubhouse practices in Willingboro, NJ. The NPI Number for Dungarvin New Jersey, LLC - Clubhouse is 1477142446. The current practice location address for Dungarvin New Jersey, LLC - Clubhouse is 19 Club House Dr, Willingboro, NJ 08046-3403 and can be reached out via phone at 732-463-7227.
Provider Profile Details
- NPI Number
- 1477142446
- Provider Name
- Dungarvin New Jersey, LLC - Clubhouse
- Provider Entity Type
- Organization
- Address
- 19 Club House Dr, Willingboro, NJ 08046-3403
- Phone Number
- 732-463-7227
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- Yes
- Parent Organization
- Dungarvin Group, INC.
- Authorized Official
- Lori Kress · Ceo · 651-699-0206
- Provider Enumeration Date
- January 14, 2021
- Last Update Date
- April 27, 2023
- Certification Date
- April 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Club House Dr
Willingboro, NJ 08046-3403 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-3403
- Phone Number
- 732-463-7227
Provider Business Mailing Address Details
- Address
- 1543 State Route 27 Ste 24
Somerset, NJ 08873-4015 - City
- Somerset
- State
- NJ
- Zip
- 08873-4015
- Phone Number
- 732-463-7227
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dungarvin New Jersey, LLC - Clubhouse?
The NPI number of Dungarvin New Jersey, LLC - Clubhouse is 1477142446. It was assigned on January 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Dungarvin New Jersey, LLC - Clubhouse?
Dungarvin New Jersey, LLC - Clubhouse is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Dungarvin New Jersey, LLC - Clubhouse practice?
The practice location is 19 Club House Dr, Willingboro, NJ 08046-3403. The office can be reached at 732-463-7227 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477142446 directly on the NPPES registry website.