OrganizationActive
Lake Region Corporation
NPI 1790302420 · Intellectual Disabilities Intermediate Care Facility · Devils Lake, ND
Provider details
- NPI number
- 1790302420
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Svedberg, Cfo(701) 662-8681
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2017 Highway 20
Devils Lake, ND 58301-8650
Phone: (701) 662-8681
Approximate (ZIP-level) locationGet directions
Mailing address
224 3rd St Nw
Devils Lake, ND 58301-2908
Registry dates
- Enumerated
- 2020-06-29
- Last updated
- 2020-06-29
- Certified
- 2020-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.