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

Msocs-Blaine

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1508939331

Msocs-Blaine is an Intellectual Disabilities Intermediate Care Facility in Minneapolis, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

12949 Kenyon St NE
Minneapolis, MN 55449-4991
Phone: (763) 755-0233
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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 number1508939331
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEastern Minnesota State Operated Community Services
Authorized official Roger Deneen — Residential Prog Svcs Director · (651) 582-1857
NPI enumeratedNovember 17, 2006
Last updated in NPPESJune 18, 2008
Mailing addressPo Box 64979, Saint Paul, MN 55164-0979

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