National Provider Identifier Database

NEXUS FAMILY HEALING
Mental Health (Including Community Mental Health Center)


Contact Information

NEXUS FAMILY HEALING
185 CHESTNUT
MANTENO, IL60950
Phone: 815-802-3700
Fax: 815-468-2320
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for NEXUS FAMILY HEALING

NPI Number 1760822142
Legal business name
LBN
NEXUS FAMILY HEALING
Authorized official JASON DUNNING - (DIRECTOR OF FINANCIAL PLANNING)
Entity Organization
Organization subpart No
Enumeration date 06/28/2013
Last updated 08/07/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 223668-06
  • IL Medicaid: 2B05-IPI-051

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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