NPIMap

Organization Active NPI

Axis Minnesota, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Mounds View, MN
National Provider Identifier
1477617009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1032297-1-RS Issued in MN
Legal business name
AXIS MINNESOTA, INC.
Practice address
5533 Saint Michael St
Mounds View, MN 55112-1215
Phone
(651) 774-5940
Fax
(651) 774-8126
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Denise Marie Scholljegerdes
Title
Cfo
Phone
(651) 774-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1032297-1-RS MN Primary

Addresses

Primary practice location

5533 Saint Michael St
Mounds View, MN 55112-1215

Mailing address

2345 Rice St
Roseville, MN 55113-3741
Phone (651) 774-5940

National Provider Directory

National Provider Directory
Tax ID family
Axis Minnesota Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477617009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 RICE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133741",
            "telephone_number": "651-774-5940",
            "fax_number": "651-774-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 SAINT MICHAEL ST",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "551121215",
            "telephone_number": "651-774-5940",
            "fax_number": "651-774-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS MINNESOTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOLLJEGERDES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-774-5940"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "1032297-1-RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mounds View, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.