Msocs-Moose Lake
NPI 1205909991 · Intellectual Disabilities Intermediate Care Facility · Moose Lake, MN
Msocs-Moose Lake is a Intellectual Disabilities Intermediate Care Facility organization in Moose Lake, MN (NPI 1205909991).
Provider details
- NPI number
- 1205909991
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Eastern Minnesota State Operated Community Services
- Organization subpart
- Yes
- Authorized official
- Roger Deneen, Residential Prog Svcs Director(651) 582-1857
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2008-06-18
Frequently asked questions
- What is Msocs-Moose Lake's NPI number?
- Msocs-Moose Lake's National Provider Identifier (NPI) is 1205909991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Msocs-Moose Lake?
- Msocs-Moose Lake is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Msocs-Moose Lake located?
- Msocs-Moose Lake's practice location on file with NPPES is 305 4th St, Moose Lake, MN 55767.
- What is Msocs-Moose Lake's phone number?
- The practice phone number listed in the NPPES registry for Msocs-Moose Lake is (218) 485-4634.
- Who is the authorized official for Msocs-Moose Lake?
- The authorized official listed on Msocs-Moose Lake's NPPES record is Roger Deneen, Residential Prog Svcs Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Msocs-Moose Lake's NPI active?
- Yes — Msocs-Moose Lake's NPI (1205909991) is active in the NPPES registry as of the last update on 2008-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.