OrganizationActive
Shingobee Island Lodge Incorporated
NPI 1629263827 · Mental Illness Community Based Residential Treatment Facility · Walker, MN
Provider details
- NPI number
- 1629263827
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Rogen, President(218) 547-7516
- License
- 1005081-1-AFC (MN)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 1005081-1-AFC (MN)
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
7185 Dewdrop Trail Nw
Walker, MN 56484
Phone: (218) 547-7516
Street-level locationGet directions
Mailing address
Po Box 530
Walker, MN 56484-0530
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2007-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.