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	3245S0500X	Children's Substance Abuse Rehabilitation Facility	A41140003A	IL

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

General Provider Information

NPI Number	:	1841249372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXUS FAMILY HEALING

Provider Business Mailing Address
First Line	:	505 HIGHWAY 169 N STE 500
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55441-6447
Country	:	US
Telephone Number	:	763-551-8640
Fax Number	:	763-553-1637

Provider Business Practice Location Address
First Line	:	118 EAST LINCOLN STREET
Second Line	:
City	:	ONARGA
State	:	IL
Zip	:	60955
Country	:	US
Telephone Number	:	763-551-8659
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/05/2020

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Directions to “NEXUS FAMILY HEALING ” Practice Location

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