MEDICARE: NEXUS FAMILY HEALING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	14239507	IL
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427006048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXUS FAMILY HEALING

Provider Business Mailing Address
First Line	:	505 HIGHWAY 169 N
Second Line	:	SUITE 500
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-6434
Country	:	US
Telephone Number	:	763-551-8640
Fax Number	:	763-553-1637

Provider Business Practice Location Address
First Line	:	110 N LOCUST ST
Second Line	:
City	:	ONARGA
State	:	IL
Zip	:	60955-1213
Country	:	US
Telephone Number	:	815-268-4001
Fax Number	:	815-268-7977

Authorized Official
Title or Position	:	DIRECTOR OF FINANCIAL PLANNING
Name	:	JASON CLARK DUNNING
Credential	:
Telephone Number	:	763-551-8664

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/05/2020

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MEDICARE: NEXUS FAMILY HEALING

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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