SHOLOM HOME CARE
NPI 1386914588
Home Health in St Louis Park, MN

Active since January 04, 2012
3620 PHILLIPS PKWY, ST LOUIS PARK, MN 55426(952) 939-1515(952) 933-1485 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, May 14, 2019 (2 updates tracked since 2019).

About Sholom Home Care NPPES

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

SHOLOM HOME CARE (NPI 1386914588) is a healthcare organization registered as a home health in St Louis Park, Minnesota and active in the NPI registry since January 2012. The organization maintains a secondary practice location in Saint Paul and lists Douglas Wyckoff, Controller, as its authorized official.

NPPES Registry Identity

NPI1386914588
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE
Location Address3620 PHILLIPS PKWYSt Louis Park, MN 55426-3700
Mailing Address3620 Phillips PkwySt Louis Park, MN 55426-3700 · (952) 939-1515 · Fax (952) 933-1485
Fax(952) 933-1485
Organization SubpartYes
Authorized OfficialDouglas WyckoffController · (952) 939-1637
Enumeration DateJanuary 4, 2012
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1386914588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in MN · 355707
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 PKWY, St Louis Park, MN 55426

Other Names 1

Doing Business AsSholom Home Care

Secondary Practice Location 1

Location 1740 Kay AveSaint Paul, MN 55102-6014 · Phone (952) 939-1515

Other Identifiers 1

Medicaid271243100MN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Physical Rehabilitation)
3620 PHILLIPS PKWY
ST LOUIS PARK, MN 55426
Skilled Nursing Facility
3620 PHILLIPS PKWY
ST LOUIS PARK, MN 55426
Physical Therapist
3620 PHILLIPS PKWY
ST LOUIS PARK, MN 55426
Dietitian, Registered
3620 PHILLIPS PKWY
ST LOUIS PARK, MN 55426

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 1386914588. It was assigned to this organization in the NPPES registry on January 4, 2012. The provider is doing business as Sholom Home Care.

Where is Sholom Community Alliance Home Health Care located?

Sholom Community Alliance Home Health Care is located at 3620 Phillips Pkwy, St Louis Park, MN 55426. The listed phone number is (952) 939-1515.

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

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

When was this NPI record last updated?

The NPPES record for Sholom Community Alliance Home Health Care was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.