Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lutheran Social Service of Minnesota

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1114385085

Lutheran Social Service of Minnesota is an Intellectual Disabilities Intermediate Care Facility in Elk River, Minnesota. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

11754 191 1/2 Ave NW
Elk River, MN 55330-1367
Phone: (651) 310-9451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1114385085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brigid Peterson — Chief Compliance & Integration · (651) 310-9451
NPI enumeratedFebruary 5, 2016
Last updated in NPPESFebruary 24, 2017
Mailing address2485 Como Ave, Saint Paul, MN 55108-1445

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