Reentry House, Inc. in Minneapolis - Community Based Residential Treatment Facility, Mental Illness
Reentry House, Inc. - NPI 1679656771
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 1679656771. The last update date is 2020-08-22.
Reentry House, Inc.'s current location address is 5812 Lyndale Avenue South, 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 Avenue South, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Reentry House, Inc. |
|---|---|
| Address | 5812 Lyndale Avenue South, Minneapolis, Minnesota |
| Phone Number | 6128692411 |
| Fax Number | 6128690313 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Schneider M. Terry |
| Credentials | LICENSED P |
| Telephone Number | 6128692411 |
NPI Number Detail
| NPI Number | 1679656771 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5812 Lyndale Avenue South |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55419 |
| Phone Number | 6128692411 |
| Fax Number | 6128690313 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 802063-2-RMI |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the Reentry House, Inc.'s unique identification number?
The Reentry House, Inc. has been assigned the NPI (National Provider Identifier) Number 1679656771 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Reentry House, Inc.'s physical address?
The Reentry House, Inc. is physically located at 5812 Lyndale Avenue South, in the city of Minneapolis, MN, with the postal code 55419.
What is the Reentry House, Inc.'s specialty and taxonomy code?
The Reentry House, Inc.'s specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
When was the Reentry House, Inc.'s 1679656771 issued?
The Reentry House, Inc.'s 1679656771 was issued on 2006-10-23.
As of what date were the details pertaining to Reentry House, Inc. last refreshed?
The information related to the Reentry House, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.