REENTRY HOUSE, INC. (NPI# 1891889960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891889960 |
| Entity Type | Organization |
| Organization Name | REENTRY HOUSE, INC. |
| Practice Address |
5812 Lyndale Avenue South Minneapolis MN 55419 |
| Practice Telephone | 6128692411 |
| Practice Fax Number | 6128690313 |
| Mailing Telephone | 6128692411 |
| Mailing Fax Number | 6128690313 |
| Enumeration Date | 2006-10-03 |
| 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 |
| 1396258190 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2017-11-15 |
| 1679656771 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1313 5th St Se, Suite #314, Minneapolis, MN 55414-4504 | 2006-10-23 |
| Street Address |
5812 LYNDALE AVENUE SOUTH |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1972020329 | Michael Daly | Marriage & Family Therapist | 5413 Nicollet Ave # 152, Minneapolis, MN 55419 | 2017-08-26 |
| 1518343946 | Samantha Ruth Praus | Counselor | Wellness Minneapolis, 4450 Nicollet Ave. S., Minneapolis, MN 55419 | 2015-08-07 |
| 1679919104 | Morgan Supinski | Occupational Therapist | 5748 Clinton Ave, Minneapolis, MN 55419 | 2013-05-10 |
| 1720358021 | Jeremy Zellmann | Pharmacist | 6001 Mogan Avenue South, Minneapolis, MN 55419 | 2012-01-04 |
| 1003108895 | Nicollet Dental | Dentist | 6101 Nicollet Ave. So., Minneapolis, MN 55419 | 2011-05-11 |
| 1194056812 | Laura J. Johnson | Social Worker | 410 E 48th St Ste 2, Minneapolis, MN 55419 | 2010-01-20 |
| 1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
| 1619118775 | Dr. David Mckay, Dds LLC | Dentist | 4800 Nicollet Ave. S., Minneapolis, MN 55419 | 2009-03-18 |
| 1750553343 | Alex B Lanning | Chiropractor | 5415 Nicollet Ave, Minneapolis, MN 55419 | 2008-03-24 |
| Find all providers in zip 55419 | ||||
| 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 | 55419 |
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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.