OrganizationActive
Lutheran Social Service
NPI 1134281629 · Intellectual Disabilities Intermediate Care Facility · Shoreview, MN
Provider details
- NPI number
- 1134281629
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeri Schoonover, Vice President(651) 642-5990
- License
- 801437 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
925 Amble Rd
Shoreview, MN 55126-2216
Phone: (218) 824-3744
Fax: (218) 829-9217
Street-level locationGet directions
Mailing address
716 E St Ne
Brainerd, MN 56401-2857
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.