Organization Active NPI

Nexus Family Healing

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manteno, IL
National Provider Identifier
1215377692
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEXUS FAMILY HEALING
Practice address
110 Evergreen
Manteno, IL 60950
Phone
(815) 802-3700
Fax
(815) 468-2320
NPI assigned
Jun 28, 2013
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Hartkemeyer
Title
Revenue Cycle Manager
Phone
(763) 551-8640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 223668-06 IL

Addresses

Primary practice location

110 Evergreen
Manteno, IL 60950

Mailing address

505 Highway 169 N Ste 500
Plymouth, MN 55441-6447
Phone (763) 551-8640

Other identifiers 1

IdentifierTypeStateIssuer
2B05-IPI-051MedicaidIL

Other names 1

  • Nexus-Indian Oaks Family Healing Other name

National Provider Directory

National Provider Directory
Tax ID family
Nexus36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1215377692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HIGHWAY 169 N STE 500",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416447",
            "telephone_number": "763-551-8640",
            "fax_number": "763-553-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVERGREEN",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "60950",
            "telephone_number": "815-802-3700",
            "fax_number": "815-468-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS FAMILY HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HARTKEMEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "763-551-8640"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "223668-06",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05-IPI-051",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus-Indian Oaks Family Healing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manteno, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.