Ramsey County D.B.A. Lake Owasso Residence in Shoreview - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ramsey County D.B.A. Lake Owasso Residence - NPI 1871651521
Ramsey County D.B.A. Lake Owasso Residence is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Shoreview, Minnesota. Ramsey County D.B.A. Lake Owasso Residence practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Ramsey County D.B.A. Lake Owasso Residence is 1871651521. The last update date is 2008-06-19.
Ramsey County D.B.A. Lake Owasso Residence's current location address is 210 N Owasso Blvd, Shoreview, Minnesota. You can contact this provider via phone number 6517657700 and fax number 6517657722. The mailing address for Ramsey County D.B.A. Lake Owasso Residence is 210 N Owasso Blvd, Shoreview, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ramsey County D.B.A. Lake Owasso Residence |
|---|---|
| Address | 210 N Owasso Blvd, Shoreview, Minnesota |
| Phone Number | 6517657700 |
| Fax Number | 6517657722 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Speggen Michael Louis |
| Credentials | MS |
| Telephone Number | 6517657703 |
NPI Number Detail
| NPI Number | 1871651521 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 210 N Owasso Blvd |
|---|---|
| City | Shoreview |
| State | Minnesota (MN) |
| Post Code | 551263074 |
| Phone Number | 6517657700 |
| Fax Number | 6517657722 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 801333-1-RS |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 436843600 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ramsey County D.B.A. Lake Owasso Residence by the Centers for Medicare & Medicaid Services?
The Ramsey County D.B.A. Lake Owasso Residence has been issued the NPI (National Provider Identifier) 1871651521, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ramsey County D.B.A. Lake Owasso Residence's facilities are geographically located?
The facilities of Ramsey County D.B.A. Lake Owasso Residence are physically situated at the following location: 210 N Owasso Blvd, Shoreview, MN, 551263074.
What is Ramsey County D.B.A. Lake Owasso Residence's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ramsey County D.B.A. Lake Owasso Residence's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
When did the Ramsey County D.B.A. Lake Owasso Residence receive its 1871651521?
The Ramsey County D.B.A. Lake Owasso Residence was issued its 1871651521 on 2006-12-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Ramsey County D.B.A. Lake Owasso Residence, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ramsey County D.B.A. Lake Owasso Residence, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-19.