NEXUS (NPI# 1811193188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811193188 |
| Entity Type | Organization |
| Organization Name | NEXUS |
| Other Organization Name | NEXUS - MILLE LACS ACADEMY |
| Practice Address |
100 Crosier Dr Suite 1 Onamia MN 56359-4512 |
| Mailing Address |
4050 Olson Memorial Hwy Suite 450 Minneapolis MN 55422-5323 |
| Practice Telephone | 3205324005 |
| Practice Fax Number | 3205324898 |
| Mailing Telephone | 7635518659 |
| Mailing Fax Number | 7635531637 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES D'ANGELO (CEO) |
| Authorized Official Telephone | 7635518669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
1036935-1-CRF | MN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 4C72MI | 01 | |
| SD | 5160493 | 05 | |
| SD | 5160490 | 05 | |
| SD | 5160492 | 05 |
| Other Name | Type Code |
|---|---|
| Nexus - Mille Lacs Academy | 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 |
| 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 |
| 1366897753 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 14300 County Road 62, Minnetonka, MN 55345-6706 | 2016-05-04 |
| 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 103 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 104 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 105 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 107 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 108 LLC | Holly Wohl, 10 Marions Lane, Fort Salonga, Ny 11768 |
| Street Address |
100 CROSIER DR SUITE 1 |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| Find all providers in zip 56359 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780020925 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1572 Co Rd 134, St. Cloud, MN 56303-0346 | 2013-05-15 |
| 1558652925 | Tapestry | Substance Abuse Rehabilitation Facility | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-04-20 |
| 1841441854 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 39413 120th St Sw, East Grand Forks, MN 56721-9121 | 2008-10-08 |
| 1922275148 | Temporary Living Center | Substance Abuse Rehabilitation Facility | 7170 Bryant Lake Dr, Eden Prairie, MN 55344-3502 | 2008-05-15 |
| 1225202625 | Redlake Chemical Health Program Group Home | Substance Abuse Rehabilitation Facility | 15797 Main Avenue, Redlake, MN 56671 | 2008-04-16 |
| 1679750426 | Prairie Lakes Youth Programs Boys Group Home | Substance Abuse Rehabilitation Facility | 1013 Lakeland Dr Ne, Willmar, MN 56201-2114 | 2008-01-23 |
| 1124212873 | Jacy 2, LLC | Substance Abuse Rehabilitation Facility | 319 Csah #20, Litchfield, MN 55355 | 2007-09-05 |
| 1588855878 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 28579 Us Highway 10, Springhill Group Home, Detroit Lakes, MN 56501-7308 | 2007-08-05 |
| 1376733659 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 820 Eickhof Blvd, Kairos House, Crookston, MN 56716-2600 | 2007-08-01 |
| 1275731317 | Minnesota Correctional Facility -togo | Substance Abuse Rehabilitation Facility | 62741 County Road 551, Togo, MN 55723-4509 | 2007-07-10 |
| Find all providers with the same taxonomy | ||||
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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.