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

Ramsey County D.b.a. Lake Owasso Residence

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1871651521

Ramsey County D.b.a. Lake Owasso Residence is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shoreview, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

210 N Owasso Blvd
Shoreview, MN 55126-3074
Phone: (651) 765-7700
Fax: (651) 765-7722
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 801333-1-RS (MN)

Record details

NPI number1871651521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Speggen — Administrator · (651) 765-7703
Other names Lake Owasso Residence
NPI enumeratedDecember 5, 2006
Last updated in NPPESJune 19, 2008
Mailing address210 N Owasso Blvd, Shoreview, MN 55126-3074