NEXUS (NPI# 1700958881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700958881 |
| Entity Type | Organization |
| Organization Name | NEXUS |
| Other Organization Name | MILLE LACS ACADEMY |
| Practice Address |
407 130th Avenue South Onamia MN 56359 |
| Practice Telephone | 3205324005 |
| Practice Fax Number | 3205324898 |
| Mailing Telephone | 3205324005 |
| Mailing Fax Number | 3205324898 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. JASON LYNN DONAHUE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3205324005 |
| Authorized Official Credential | E.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NEXUS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | ========= | MN | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MN | 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 |
| 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 |
407 130TH AVENUE SOUTH |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359 |
| 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 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1093162232 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 312 Elm St S, Onamia, MN 56359-4013 | 2016-05-18 |
| 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 |
| 1043837560 | Journey of Hope Community Housing LLC | Community Based Residential Treatment Facility, Mental Illness | 761 Case Ave, Saint Paul, MN 55106-3705 | 2020-06-30 |
| 1366005696 | Armando Cavazos | Community Based Residential Treatment Facility, Mental Illness | 84 Wabasha St S Apt 330, Saint Paul, MN 55107-1856 | 2019-04-22 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1871064840 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 300 8th Ave Ne, Minneapolis, MN 55413-2030 | 2018-12-17 |
| 1144791112 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5546 7th St Ne, Fridley, MN 55432-5556 | 2018-12-17 |
| 1053882027 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7701 Able St Ne, Spring Lake Park, MN 55432-2809 | 2018-12-17 |
| 1699246678 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1140 80th Ave Ne, Spring Lake Park, MN 55432-2039 | 2018-12-17 |
| 1962973933 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6134 Woody Ln Ne, Fridley, MN 55432-5844 | 2018-12-17 |
| 1780155754 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 500 Ironton St Ne, Fridley, MN 55432-1633 | 2018-12-17 |
| 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.