NPIMap

Organization Active NPI

Msocs-Redwood Falls

  • Intellectual Disabilities Intermediate Care Facility
  • Redwood Falls, MN
National Provider Identifier
1366515017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MSOCS-REDWOOD FALLS
Practice address
205 Baker Dr
Redwood Falls, MN 56283-1057
Phone
(507) 637-5317
NPI assigned
Nov 17, 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
Roger Deneen
Title
Residential Prog SVCS Director
Phone
(651) 582-1857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

205 Baker Dr
Redwood Falls, MN 56283-1057

Mailing address

PO Box 64979
Saint Paul, MN 55164-0979

National Provider Directory

National Provider Directory
Tax ID family
Msocs-Shumway14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366515017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BAKER DR",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831057",
            "telephone_number": "507-637-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSOCS-REDWOOD FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENEEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "RESIDENTIAL PROG SVCS DIRECTOR",
        "authorized_official_telephone_number": "651-582-1857"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Falls, 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.