Active NPI
Alternatives for People With Autism, Inc. - Shingle Creek Option
- Intellectual Disabilities Intermediate Care Facility
- Brooklyn Park, MN
National Provider Identifier
1336296573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 8022302RS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2008013 | Alternatives for People With Autism Inc | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.