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Dungarvin Indiana, LLC — NPI 1407704596, Bloomington, IN | NPI Central

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NPI 1407704596

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Dungarvin Indiana, LLC

NPI 1407704596 · Intellectual Disabilities Intermediate Care Facility · Bloomington, IN

Provider details

NPI number: 1407704596
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Parent organization: Dungarvin Group, Inc.
Organization subpart: Yes
Authorized official: Lori Kress, Ceo(651) 789-5906

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

4812 W State Road 45

Bloomington, IN 47403-9341

Phone: (651) 699-0206

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

1444 Northland Dr Ste 200

Mendota Heights, MN 55120-1032

Other names (DBA / former)

Other name: State Rd 45

Registry dates

Enumerated: 2026-03-17
Last updated: 2026-03-17
Certified: 2026-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.