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	:	1730030743
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	:	610 MAGNOLIA DR
Second Line	:
City	:	JENNINGS
State	:	LA
Zip	:	70546-3816
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

1285840546 — WALGREEN CO
Practice Location Address:

1804 ELTON RD
JENNINGS, LA
70546-3002

Practice Phone: 337-824-0945
Practice Fax: 337-824-8960

1659815058 — DYLAN TRAHAN
Practice Location Address:

415 N CUTTING AVE
JENNINGS, LA
70546-5963

Practice Phone: 337-824-4201
Practice Fax: 337-824-4201

1568496230 — LOUISIANA HOME HEALTHCARE PARTNERS, LLC
Practice Location Address:

919 N LAKE ARTHUR AVE , UNIT H
JENNINGS, LA
70546-4629

Practice Phone: 337-824-5453
Practice Fax: 337-824-5529

1114921160 — JENNINGS AMERICAN LEGION HOSPITAL, INC.
Practice Location Address:

1634 ELTON RD
JENNINGS, LA
70546-3614

Practice Phone: 337-616-7030
Practice Fax: 337-616-7034

1043216583 — ACADIA REHABILITATION HOSPITAL, LLC
Practice Location Address:

ONE HOSPITAL DRIVE , SUITE 101
JENNINGS, LA
70546-3641

Practice Phone: 337-821-5353
Practice Fax: 337-821-5366

1851397020 — MRS. SHELLEY D LEBLANC WHNP
Practice Location Address:

1914 JOHNSON ST
JENNINGS, LA
70546-3628

Practice Phone: 337-824-6150
Practice Fax: 337-824-6152

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.