Provider Demographics
NPI:1356224224
Name:NEXUS FAMILY HEALING
Entity type:Organization
Organization Name:NEXUS FAMILY HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF ACCOUNTING
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:VARBLE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:763-551-8640
Mailing Address - Street 1:505 HIGHWAY 169 N STE 500
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6447
Mailing Address - Country:US
Mailing Address - Phone:612-619-0163
Mailing Address - Fax:
Practice Address - Street 1:360 IRONWOOD STE 500
Practice Address - Street 2:
Practice Address - City:MANTENO
Practice Address - State:IL
Practice Address - Zip Code:60950-1042
Practice Address - Country:US
Practice Address - Phone:612-619-0163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness