Organization Active NPI

Axis Alternatives Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Roseville, MN
National Provider Identifier
1043919780
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
AXIS ALTERNATIVES INC.
Practice address
2345 Rice St Ste 112
Roseville, MN 55113-3745
Phone
(651) 357-1100
Fax
(651) 357-1100
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise Scholljegerdes
Title
Cfo
Phone
(651) 357-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

2345 Rice St Ste 112
Roseville, MN 55113-3745

Mailing address

2345 Rice St Ste 112
Roseville, MN 55113-3745
Phone (651) 357-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043919780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 RICE ST STE 112",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133745",
            "telephone_number": "651-357-1100",
            "fax_number": "651-774-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 RICE ST STE 112",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133745",
            "telephone_number": "651-357-1100",
            "fax_number": "651-357-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS ALTERNATIVES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHOLLJEGERDES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-357-1100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.