MEDICARE: DUNGARVIN INDIANA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number	:	1770431819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUNGARVIN INDIANA, LLC

Provider Business Mailing Address
First Line	:	1444 NORTHLAND DR STE 200
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3025 GREEN HILLS LANE SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-1970
Country	:	US
Telephone Number	:	651-699-0206
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LORI KRESS
Credential	:
Telephone Number	:	651-789-5906

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

Similar Medicare Providers

1265566111 — DR. SCOTT ANDREW CHRISTY DDS
Practice Location Address:

6201 WINTHROP AVE , SUITE #3
INDIANAPOLIS, IN
46220-1970

Practice Phone: 317-253-5304
Practice Fax: 317-253-5301

1538464227 — SHEPHERDS INTERNAL MEDICINE PRACTICE
Practice Location Address:

6201 WINTHROP AVE
INDIANAPOLIS, IN
46220-1970

Practice Phone: 317-253-7559
Practice Fax:

1215309018 — URGENT DENTAL CENTER WEST
Practice Location Address:

4930 LAFAYETTE RD STE O
INDIANAPOLIS, IN
46254-1970

Practice Phone: 317-559-5799
Practice Fax:

1073011078 — HARTMAN DENTISTRY LLC
Practice Location Address:

3091 E 98TH ST STE 220
INDIANAPOLIS, IN
46280-1970

Practice Phone: 317-581-0215
Practice Fax: 317-581-0219

1750948246 — KALEB DANIEL DAVIS DDS
Practice Location Address:

5406 S EMERSON AVE
INDIANAPOLIS, IN
46237-1970

Practice Phone: 317-780-7777
Practice Fax:

1497317309 — DR. ALYSSA MARIE HOOVER DMD
Practice Location Address:

5406 S EMERSON AVE
INDIANAPOLIS, IN
46237-1970

Practice Phone: 317-780-7777
Practice Fax:

Directions to “DUNGARVIN INDIANA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.