Organization Active NPI

Alternatives for People With Autism, Inc. - Shingle Creek Option

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn Park, MN
National Provider Identifier
1336296573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
8022302RS Issued in MN
Legal business name
ALTERNATIVES FOR PEOPLE WITH AUTISM, INC. - SHINGLE CREEK OPTION
Practice address
5624 73Rd Ave N
Brooklyn Park, MN 55429-1176
Phone
(763) 560-5330
Fax
(763) 566-8426
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Amon
Title
Director
Phone
(763) 560-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 8022302RS MN Primary

Addresses

Primary practice location

5624 73Rd Ave N
Brooklyn Park, MN 55429-1176

Mailing address

5624 73Rd Ave N
Brooklyn Park, MN 55429-1176
Phone (763) 560-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 24G382

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SHINGLE CREEK OPTION
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 27, 1982
Last certification
Aug 27, 2025
Beds
15
Ownership / control type
Private (non-profit)
Facility address
5624 73Rd Ave No
Brooklyn Park, MN 55429

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2008013Alternatives for People With Autism Inc5624 - 73Rd Avenue North, Brooklyn Park, MN 55429Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Locations

5624 73rd Ave N
Brooklyn Park, MN 55429
Phone (763) 560-5330

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336296573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 73RD AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291176",
            "telephone_number": "763-560-5330",
            "fax_number": "763-566-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 73RD AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291176",
            "telephone_number": "763-560-5330",
            "fax_number": "763-566-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVES FOR PEOPLE WITH AUTISM, INC. - SHINGLE CREEK OPTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-560-5330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "8022302RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

Verify at the official NPI Registry.