NPIMap

Organization Active NPI

Reentry House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Minneapolis, MN
National Provider Identifier
1396258190
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
REENTRY HOUSE, INC.
Practice address
1800 Chicago Ave
Minneapolis, MN 55404-1901
Phone
(612) 869-2411
NPI assigned
Nov 15, 2017
Organization subpart
Yes
Parent organization
REENTRY HOUSE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Terry Michael Schneider
Title
President
Phone
(651) 256-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1800 Chicago Ave
Minneapolis, MN 55404-1901

Mailing address

5812 Lyndale Ave S
Minneapolis, MN 55419-2222
Phone (612) 869-2411

Other names 1

  • ReEntry House Crisis Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Reentry House Inc4 organizations share this tax ID, including this one
Part of
Reentry House Inc

Other organizations with this tax ID 3

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

Locations

1800 Chicago Ave
Minneapolis, MN 55404
Phone (612) 596-9438

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1396258190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554192222",
            "telephone_number": "612-869-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041901",
            "telephone_number": "612-869-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENTRY HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REENTRY HOUSE, INC",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-256-1211"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReEntry House Crisis Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.