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

Msocs-Shumway

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1912070723

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

In the registry since
2006

Practice location Address checks out

1805 Shumway Ave
Faribault, MN 55021-3102
Phone: (507) 332-0495
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 number1912070723
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