Reentry House, Inc. in Minneapolis - Community Based Residential Treatment Facility, Mental Illness
Reentry House, Inc. - NPI 1174713705
Reentry House, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Minneapolis, Minnesota. Reentry House, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Reentry House, Inc. is 1174713705. The last update date is 2007-07-30.
Reentry House, Inc.'s current location address is 5812 Lyndale Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6128692411 and fax number 6128690313. The mailing address for Reentry House, Inc. is 5812 Lyndale Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Reentry House, Inc. |
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Address | 5812 Lyndale Ave S, Minneapolis, Minnesota |
Phone Number | 6128692411 |
Fax Number | 6128690313 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Schneider M. Terry |
Credentials | LICENSED P |
Telephone Number | 6128692411 |
NPI Number Detail
NPI Number | 1174713705 |
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Provider Enumeration Date | 2007-07-30 |
Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
Address | 5812 Lyndale Ave S |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554192222 |
Phone Number | 6128692411 |
Fax Number | 6128690313 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | 802063 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Post Comment/ Review Below
What is the unique identifier code issued to Reentry House, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Reentry House, Inc. has been assigned the NPI (National Provider Identifier) 1174713705. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Reentry House, Inc.?
The Reentry House, Inc. is situated at 5812 Lyndale Ave S, in the city of Minneapolis, state of MN, with the zip code 554192222.
What is Reentry House, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Reentry House, Inc. is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
When did Reentry House, Inc. receive its 1174713705 assignment?
The Reentry House, Inc. was assigned its 1174713705 on 2007-07-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Reentry House, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Reentry House, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-30.