REENTRY HOUSE, INC. (NPI# 1679656771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679656771 |
| Entity Type | Organization |
| Organization Name | REENTRY HOUSE, INC. |
| Practice Address |
1313 5th St Se Suite #314 Minneapolis MN 55414-4504 |
| Mailing Address |
5812 Lyndale Avenue South Minneapolis MN 55419 |
| Practice Telephone | 6124357200 |
| Practice Fax Number | 6124357201 |
| Mailing Telephone | 6128692411 |
| Mailing Fax Number | 6128690313 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRY M. SCHNEIDER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6128692411 |
| Authorized Official Credential | LICENSED PSYCHOL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 802063-2-RMI | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174713705 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5812 Lyndale Ave S, Minneapolis, MN 55419-2222 | 2007-07-30 |
| 1891889960 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5812 Lyndale Avenue South, Minneapolis, MN 55419 | 2006-10-03 |
| 1396258190 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2017-11-15 |
| Street Address |
1313 5TH ST SE SUITE #314 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191889 | Dixie Lee Grace | Psychologist | 1313 5th St Se, Minneapolis, MN 55414-4504 | 2005-08-17 |
| 1528351947 | Cheryl Lynn Rowe | Massage Therapist | 1313 5th St Se, 224-b, Minneapolis, MN 55414-4504 | 2011-05-18 |
| 1104126234 | Chiropractic Wellness Center of Dinkytown LLC | Clinic/Center | 1313 5th St Se, Suite 130, Mailbox 89, Minneapolis, MN 55414-4504 | 2010-10-22 |
| 1255653838 | Dinkytown Family Chiropractic Inc | Chiropractor | 1313 5th St Se, Suite 130, Minneapolis, MN 55414-4504 | 2010-02-23 |
| 1043460280 | Matthew Heyda | Chiropractor | 1313 5th St Se, Minneapolis, MN 55414-4504 | 2008-09-24 |
| 1285883256 | Deborah Rae Goldberg | Genetic Counselor, MS | 1313 5th St Se, Minneapolis, MN 55414-4504 | 2008-09-15 |
| 1356507479 | Jewish Family & Children's Services | Home Health | 1313 5th St Se, #328, Minneapolis, MN 55414-4504 | 2008-07-29 |
| 1003075045 | North Minneapolis Meals On Wheels | Voluntary or Charitable | 1313 5th St Se, #328, Minneapolis, MN 55414-4504 | 2008-06-05 |
| 1356562284 | Tamara Lynn Tinkham | Psychologist | 1313 5th St Se, Suite 223b, Minneapolis, MN 55414-4504 | 2007-05-01 |
| 1083838213 | Ferde William Fritsche | Psychologist | 1313 5th St Se, Mailbox 45, Suite 114 B, Minneapolis, MN 55414-4504 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796384 | Maisa Inc. | Community Based Residential Treatment Facility, Mental Illness | 1113 E Franklin Ave Ste 208c, Minneapolis, MN 55404-2977 | 2020-09-28 |
| 1871064840 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 300 8th Ave Ne, Minneapolis, MN 55413-2030 | 2018-12-17 |
| 1508337585 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5914 Hackmann Ave Ne, Minneapolis, MN 55432-5756 | 2018-12-17 |
| 1144791237 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 736 Pierce St Ne, Minneapolis, MN 55413-2530 | 2018-12-16 |
| 1689119836 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1201 Dupont Ave N, Minneapolis, MN 55411-4089 | 2016-12-27 |
| 1841742699 | Hennepin Healthcare Systems, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3633 Chicago Ave, South, Minneapolis, MN 55407-2603 | 2016-10-27 |
| 1184097479 | Step Forward, Incorporated | Community Based Residential Treatment Facility, Mental Illness | 3307 University Ave Se, Minneapolis, MN 55414-3325 | 2015-11-09 |
| 1174713705 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5812 Lyndale Ave S, Minneapolis, MN 55419-2222 | 2007-07-30 |
| 1730207705 | People Incorporated | Community Based Residential Treatment Facility, Mental Illness | 1319 Girard Ave N, Minneapolis, MN 55411-3128 | 2007-03-27 |
| 1154498871 | Kelly Norton Programs | Community Based Residential Treatment Facility, Mental Illness | 3104 E 58th St, Minneapolis, MN 55417-2800 | 2006-11-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
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| 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.