OrganizationActive
Ramsey County D.b.a. Lake Owasso Residence
NPI 1871651521 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Shoreview, MN
Provider details
- NPI number
- 1871651521
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Louis Speggen, Administrator(651) 765-7703
- License
- 801333-1-RS (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 801333-1-RS (MN)
Residential Treatment 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
210 N Owasso Blvd
Shoreview, MN 55126-3074
Phone: (651) 765-7700
Fax: (651) 765-7722
Street-level locationGet directions
Mailing address
210 N Owasso Blvd
Shoreview, MN 55126-3074
Other names (DBA / former)
- Doing business as
- Lake Owasso Residence
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2008-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.