Provider Demographics
NPI:1053800862
Name:NEXUS HEALTH INNOVATIONS LLC
Entity type:Organization
Organization Name:NEXUS HEALTH INNOVATIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-496-1516
Mailing Address - Street 1:1415 LILAC DR N STE 260
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4545
Mailing Address - Country:US
Mailing Address - Phone:763-496-1516
Mailing Address - Fax:763-496-1554
Practice Address - Street 1:1415 LILAC DR N STE 260
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4545
Practice Address - Country:US
Practice Address - Phone:763-496-1516
Practice Address - Fax:763-496-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251S00000XAgenciesCommunity/Behavioral Health