NPIMap

Organization Active NPI

Reentry House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Minneapolis, MN
National Provider Identifier
1679656771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
802063-2-RMI Issued in MN
Legal business name
REENTRY HOUSE, INC.
Practice address
1313 5TH St SE
Suite #314
Minneapolis, MN 55414-4504
Phone
(612) 435-7200
Fax
(612) 435-7201
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Terry M. Schneider, LICENSED PSYCHOLOGIS
Title
Executive Director
Phone
(612) 869-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 802063-2-RMI MN Primary

Addresses

Primary practice location

1313 5TH St SE
Suite #314
Minneapolis, MN 55414-4504

Mailing address

5812 Lyndale Avenue South
Minneapolis, MN 55419
Phone (612) 869-2411

National Provider Directory

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

Other organizations with this tax ID 3

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

Locations

1313 5th St SE
Ste 314
Minneapolis, MN 55414
Phone (612) 435-7200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679656771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 LYNDALE AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55419",
            "telephone_number": "612-869-2411",
            "fax_number": "612-869-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 5TH ST SE",
            "address_2": "SUITE #314",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144504",
            "telephone_number": "612-435-7200",
            "fax_number": "612-435-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENTRY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-869-2411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "802063-2-RMI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.