NEXUS (NPI# 1366897753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366897753 |
| Entity Type | Organization |
| Organization Name | NEXUS |
| Other Organization Name | NEXUS GLEN LAKE |
| Practice Address |
14300 County Road 62 Minnetonka MN 55345-6706 |
| Mailing Address |
407 130th Ave S Onamia MN 56359-3115 |
| Practice Telephone | 3205324005 |
| Practice Fax Number | 3205324898 |
| Mailing Telephone | 3205324005 |
| Mailing Fax Number | 3205324898 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | MR. DAVID HUTCHINSON (CFO) |
| Authorized Official Telephone | 7635518640 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Nexus Glen Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1093162232 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 312 Elm St S, Onamia, MN 56359-4013 | 2016-05-18 |
| 1811193188 | Nexus | Substance Abuse Rehabilitation Facility | 100 Crosier Dr, Suite 1, Onamia, MN 56359-4512 | 2007-06-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1457802852 | Nexus | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 130th Ave S, Onamia, MN 56359-3115 | 2016-10-20 |
| 1366783292 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 210 S Washington Ave, Kankakee, IL 60901-3781 | 2013-03-01 |
| 1942579743 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2011-12-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEXUS | 7181 N Hualapai Way Ste 130-880, Las Vegas, NV 89166-1115 |
| Colorado Business Entities | NEXUS | 17025 E. Carlson Dr, Parker, CO 80134 |
| New York State Corporations | NEXUS 101 LLC | 10 Marions Lane, Fort Salonga, New York 11768 |
| New York State Corporations | NEXUS 102 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 106 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 108 LLC | Holly Wohl, 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 110 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| Washington State Corporations | NEXUS 1100 LLC | 16365 Ne 117th Ct, Redmond, WA 98052-2394 |
| New York State Corporations | NEXUS 111 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 113 LLC | 250 Park Ave., 11th Fl., New York, Ny 10177 |
| Street Address |
14300 COUNTY ROAD 62 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154466944 | Casey J Snow | Occupational Therapist | 14300 County Road 62, Minnetonka, MN 55345-6706 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254867 | Julia Keehr-oleson | Residential Treatment Facility, Emotionally Disturbed Children | 1608 W River Rd, Little Falls, MN 56345-4155 | 2016-02-05 |
| 1528226370 | Avanti Center for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 10300 Flanders St Ne, Blaine, MN 55449-5710 | 2008-05-29 |
| 1760666903 | Valley-lake Boy's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3850 200th Ave, Breckenridge, MN 56520-0411 | 2007-12-24 |
| 1043402233 | Pinnacle Programs, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 401 W Luverne St, Magnolia, MN 56158-2004 | 2007-08-13 |
| 1578765269 | Kandiyohi County Group Homes | Residential Treatment Facility, Emotionally Disturbed Children | 822 Park Ave Nw, Willmar, MN 56201-2568 | 2007-06-04 |
| 1710197207 | Network for Native Futures | Residential Treatment Facility, Emotionally Disturbed Children | 6781 160th St Nw, Cass Lake, MN 56633-3049 | 2007-05-23 |
| 1376753160 | Red Lake Department of Family and Children Services | Residential Treatment Facility, Emotionally Disturbed Children | 13586 Tribal Agency Street, Redlake, MN 56671-0427 | 2007-05-23 |
| 1508995689 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1726 7th Ave S, Saint Cloud, MN 56301-5711 | 2007-03-05 |
| 1316076839 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1010 Maryland Lane, Fergus Falls, MN 56537 | 2007-03-02 |
| 1972650893 | Gerard Treatment Programs | Residential Treatment Facility, Emotionally Disturbed Children | 1111 28th St Ne, Austin, MN 55912-6410 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
Please comment or provide details below to improve the information on NEXUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.