Provider Demographics
NPI:1164136776
Name:NEXUS COMMUNITY SERVICES
Entity Type:Organization
Organization Name:NEXUS COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:267-634-1784
Mailing Address - Street 1:11300 IRON BRIDGE RD STE C
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1428
Mailing Address - Country:US
Mailing Address - Phone:757-575-3606
Mailing Address - Fax:804-362-9003
Practice Address - Street 1:11300 IRON BRIDGE RD STE C
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1428
Practice Address - Country:US
Practice Address - Phone:757-575-3606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health