NEXUS (NPI# 1457802852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457802852 |
| Entity Type | Organization |
| Organization Name | NEXUS |
| Other Organization Name | MILLE LACS ACADEMY |
| Practice 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 | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | MR. DAVID HUTCHINSON (CEO) |
| Authorized Official Telephone | 7635518640 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 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 |
| 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 |
| 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 |
407 130TH AVE S |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| 1588088405 | Jeffrey Breer | Social Worker | 407 130th Ave S, Onamia, MN 56359-3115 | 2014-02-12 |
| 1780008128 | Jan Gibson Talbot | Social Worker | 407 130th Ave S, Onamia, MN 56359-3115 | 2014-02-05 |
| 1649534165 | Katherine S Glassford | Counselor | 407 130th Ave S, Onamia, MN 56359-3115 | 2012-06-29 |
| 1063773174 | Mille Lacs Academy | Psychologist | 407 130th Ave S, Onamia, MN 56359-3115 | 2012-06-05 |
| 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 |
| 1699390518 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 18562 Minobimaadizi Loop, Onamia, MN 56359 | 2020-06-16 |
| Find all providers in zip 56359 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478849 | Jobs Wholeness House of Prosperity | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Garner Cir, Montrose, MN 55363-8598 | 2019-10-15 |
| 1639710593 | Alicia Marie Olson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25844 10th St W, Zimmerman, MN 55398-8796 | 2019-10-02 |
| 1841764768 | Stepping Out Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 603 3rd St W, Hastings, MN 55033-1127 | 2019-01-14 |
| 1841652898 | Faiza Hassan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10917 Humboldt Ave S, Bloomington, MN 55431-4221 | 2016-03-28 |
| 1801293444 | Shelly Olson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5448 W Island Lake Rd, Duluth, MN 55803-8405 | 2014-11-25 |
| 1306190509 | Ronald Allen Synstelien | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 607 E Fir Ave, Fergus Falls, MN 56537-1503 | 2012-11-09 |
| 1023360559 | North Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 324 W Superior St Ste 400, Medical Arts Building, Duluth, MN 55802-1726 | 2012-10-08 |
| 1073742383 | Lutheran Social Service of Minnesota | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Penny Lane, Leroy, MN 55951 | 2009-07-08 |
| 1952549925 | Coleman Investment | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4001 Willow Rd N, Brooklyn Park, MN 55443-1239 | 2009-01-29 |
| 1942467683 | Total Living Commitment, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 Woodduck Cir, Delano, MN 55328-9779 | 2008-05-20 |
| 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.