AXIS MINNESOTA INC. NPI 1053475434

NPI Information

  • NPI: 1053475434
  • Provider Name: AXIS MINNESOTA, INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 24D0651217
  • Address: 692 BELMONT LN W
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 774-5940

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NPI Details

AXIS MINNESOTA, INC. is an intermediate care facility mentally retarded in Roseville, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. AXIS MINNESOTA, INC. NPI is 1053475434. The provider is registered as an organization entity type.

The provider's business location address is:

692 BELMONT LN W
ROSEVILLE, MN
ZIP 55113-470
Phone: (651) 774-5940
Fax: (651) 774-8126

The provider's authorized official is Denise Marie Scholljegerdes .
The authorized official title is Cfo and has the following contact phone number (651) 774-5940.

The CLIA number assigned to this NPI record is 24D0651217 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities1030626-1-RSMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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