NEXUS FAMILY HEALING – NPI #1811337280
Clinic/Center

NEXUS FAMILY HEALING is an AHC clinic located in MANTENO, IL. NPPES has assigned the NPI number 1811337280 to NEXUS FAMILY HEALING on July 01, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. NEXUS FAMILY HEALING is also known by the name NEXUS-INDIAN OAKS FAMILY HEALING. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 6 years ago on Aug 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEXUS FAMILY HEALING below.

NPI Profile for
NEXUS FAMILY HEALING

NPI Number
1811337280
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEXUS FAMILY HEALING
Other Name: NEXUS-INDIAN OAKS FAMILY HEALING
Other name(s)
All associated names:
Doing Business As (dba)
Indian Oaks Academy
Other Name
Nexus-Indian Oaks Family Healing
Primary location
215 HEMLOCK
MANTENO, IL 60950
Phone: (815) 802-3700 Fax: (815) 468-2320
Mailing address
505 HIGHWAY 169 N STE 500
PLYMOUTH, MN 55441-6447
Phone: (763) 551-8640 Fax: (763) 553-1637
Organization Subpart
No
Authorized Official
JASON DUNNING
DIRECTOR OF FINANCIAL PLANNING
Phone: (763) 551-8664
Updated
Certification Date
Aug 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NEXUS FAMILY HEALING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL2B05-IPI-051
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children		 IL 223668-06

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.