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NU HORIZONS OF SOUTHERN MN LLC
NPI 1417623596
Custodial Care Facility - Adult Care Home in Elysian, MN

Active since August 19, 2021
107 PARK AVE NE, ELYSIAN, MN 56028(612) 386-8743 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nu Horizons Of Southern Mn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NU HORIZONS OF SOUTHERN MN LLC (NPI 1417623596) is a healthcare organization registered as an adult care home in Elysian, Minnesota and active in the NPI registry since August 2021. The organization lists Christopher Thomas Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417623596
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNU HORIZONS OF SOUTHERN MN LLC
Location Address107 PARK AVE NEElysian, MN 56028-2041
Mailing AddressPo Box 247Elysian, MN 56028-0247 · (612) 386-8743
Phone(612) 386-8743
Organization SubpartNo
Authorized OfficialChristopher Thomas JohnsonExecutive Director · (612) 386-8743
Enumeration DateAugust 19, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1417623596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
107 PARK AVE NE, Elysian, MN 56028
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Other Identifiers 11

MedicaidA193658000MN
MedicaidA808132000MN
MedicaidA497458400MN
MedicaidA016698200MN
MedicaidA399148000MN
MedicaidA722960500MN
MedicaidA847930100MN
MedicaidA851678300MN
MedicaidA421408000MN
MedicaidM296987300MN
MedicaidA104640100MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nu Horizons Of Southern Mn LLC's NPI number?

The NPI number for Nu Horizons Of Southern Mn LLC is 1417623596. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Nu Horizons Of Southern Mn LLC located?

Nu Horizons Of Southern Mn LLC is located at 107 Park Ave NE, Elysian, MN 56028. The listed phone number is (612) 386-8743.

What is Nu Horizons Of Southern Mn LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Nu Horizons Of Southern Mn LLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.