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SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE
NPI 1295704005
Home Health in St Louis Park, MN

Active since March 15, 2006CLIA 24D1003359 · Waiver
3620 PHILLIPS PARKWAY, ST LOUIS PARK, MN 55426(952) 935-6311(952) 935-2701 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sholom Community Alliance Home Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE (NPI 1295704005) is a healthcare organization registered as a home health in St Louis Park, Minnesota and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Douglas Wyckoff, Controller, as its authorized official.

NPPES Registry Identity

NPI1295704005
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE
Location Address3620 PHILLIPS PARKWAYSt Louis Park, MN 55426-3700
Mailing Address3620 Phillips ParkwaySt Louis Park, MN 55426-3700 · (952) 935-6311 · Fax (952) 935-2701
Phone(952) 935-6311
Fax(952) 935-2701
Organization SubpartNo
Authorized OfficialDouglas WyckoffController · (952) 939-1637
Enumeration DateMarch 15, 2006
Last NPPES UpdateMay 14, 2019
✔ NPI 1295704005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3620 PHILLIPS PARKWAY, St Louis Park, MN 55426
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Other Identifiers 3

Other181119Evercare Ucare
Medicaid271243100MN
Other4980928Evercare Medica

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1003359

Sholom Community Alliance Home Health Care · Saint Louis Park, MN
Active · expires Aug 27, 2026
CLIA Number24D1003359
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorLeanne Wollerman
Laboratory Phone(651) 328-2320
Laboratory LocationSholom Community Alliance Home Health Care3620 Phillips Parkway, Saint Louis Park, MN 55426
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sholom Community Alliance Home Health Care's NPI number?

The NPI number for Sholom Community Alliance Home Health Care is 1295704005. It was assigned to this organization in the NPPES registry on March 15, 2006.

Where is Sholom Community Alliance Home Health Care located?

Sholom Community Alliance Home Health Care is located at 3620 Phillips Parkway, St Louis Park, MN 55426. The listed phone number is (952) 935-6311.

What is Sholom Community Alliance Home Health Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Sholom Community Alliance Home Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1003359) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sholom Community Alliance Home Health Care was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.