SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE
NPI 1295704005
Home Health in St Louis Park, MN
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
Specialties & Licenses
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.
Other Identifiers 3
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D1003359
- Facility Type
- Home Health Agency
- Certificate Effective Date
- August 28, 2024
- Certificate Expiration Date
- August 27, 2026
- Laboratory Director
- LEANNE WOLLERMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sholom Community Alliance Home Health Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295704005, enumerated as an "organization" on March 15, 2006.
The provider is located at 3620 PHILLIPS PARKWAY ST LOUIS PARK, MN 55426 and the phone number is (952) 935-6311.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
