OrganizationActive
Axis Minnesota, Inc.
NPI 1053475434 · Intellectual Disabilities Intermediate Care Facility · Roseville, MN
Provider details
- NPI number
- 1053475434
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Scholljegerdes, Cfo(651) 774-5940
- License
- 1030626-1-RS (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
692 Belmont Ln W
Roseville, MN 55113-6470
Phone: (651) 774-5940
Fax: (651) 774-8126
Approximate (ZIP-level) locationGet directions
Mailing address
2345 Rice St
Roseville, MN 55113-3741
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.