1. Home
  2. Directory
  3. Minnesota
  4. Faribault
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

MSOCS-SHUMWAY
NPI 1912070723
Intermediate Care Facility, Intellectual Disabilities in Faribault, MN

Active since November 17, 2006
1805 SHUMWAY AVE, FARIBAULT, MN 55021(507) 332-0495 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Msocs-shumway NPPES

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

MSOCS-SHUMWAY (NPI 1912070723) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Faribault, Minnesota and active in the NPI registry since November 2006. The organization lists Roger Deneen, Residential Prog Svcs Director, as its authorized official.

NPPES Registry Identity

NPI1912070723
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMSOCS-SHUMWAY
Location Address1805 SHUMWAY AVEFaribault, MN 55021-3102
Mailing AddressPo Box 64979Saint Paul, MN 55164-0979
Phone(507) 332-0495
Organization SubpartYesParent: Eastern Minnesota State Operated Community Services
Authorized OfficialRoger DeneenResidential Prog Svcs Director · (651) 582-1857
Enumeration DateNovember 17, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1912070723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1805 SHUMWAY AVE, Faribault, MN 55021
Open in Google Maps ↗

Other Identifiers 1

Medicaid074045400MN

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 Msocs-Shumway's NPI number?

The NPI number for Msocs-Shumway is 1912070723. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Msocs-Shumway located?

Msocs-Shumway is located at 1805 Shumway Ave, Faribault, MN 55021. The listed phone number is (507) 332-0495.

What is Msocs-Shumway's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Msocs-Shumway was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.