MEDICARE: DUNGARVIN LOUISIANA, 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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1487505483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUNGARVIN LOUISIANA, 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	:	651-699-0206
Fax Number	:

Provider Business Practice Location Address
First Line	:	11055 MOLLYLEA DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-5243
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	:	02/05/2026
Last Update Date	:	02/05/2026

Similar Medicare Providers

1356489710 — ALLIED HEALTH CARE, L.L.C.
Practice Location Address:

11055 MOLLYLEA DR
BATON ROUGE, LA
70815-5243

Practice Phone: 225-756-1345
Practice Fax:

1982000915 — DDMS OF LOUISIANA NO 2, LLC
Practice Location Address:

11055 MOLLYLEA DR
BATON ROUGE, LA
70815-5243

Practice Phone: 504-712-1323
Practice Fax:

1184059818 — DR. YASSER SAAD ALALI DDS
Practice Location Address:

5243 BUTTER CREEK , UNIT H7
BATON ROUGE, LA
70809-0603

Practice Phone: 504-812-7709
Practice Fax:

1639721509 — TARIKA HODGES
Practice Location Address:

5464 LINDEN ST
BATON ROUGE, LA
70805-5243

Practice Phone: 225-938-8490
Practice Fax:

1346088192 — SHARLA B TRANSPORT LLC
Practice Location Address:

3524 REDLANDS DR
BATON ROUGE, LA
70814-5243

Practice Phone: 225-326-8523
Practice Fax:

1124971551 — TANAYA KELLER
Practice Location Address:

10423 RED OAK DR
BATON ROUGE, LA
70815-1661

Practice Phone: 225-978-4993
Practice Fax:

Directions to “DUNGARVIN LOUISIANA, 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.