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SHOLOM HOSPICE
NPI 1558529941
Hospice Care, Community Based in St Louis Park, MN

Active since June 02, 2008
3630 PHILLIPS PKWY, ST LOUIS PARK, MN 55426(952) 939-1515(952) 933-1485 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sholom Hospice NPPES

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

SHOLOM HOSPICE (NPI 1558529941) is a healthcare organization registered as a hospice care, community based in St Louis Park, Minnesota and active in the NPI registry since June 2008. The organization lists Douglas Wyckoff, Controller, as its authorized official.

NPPES Registry Identity

NPI1558529941
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE
Location Address3630 PHILLIPS PKWYSt Louis Park, MN 55426-3792
Mailing Address3630 Phillips PkwySt Louis Park, MN 55426-3792 · (952) 939-1515 · Fax (952) 933-1485
Phone(952) 939-1515
Fax(952) 933-1485
Organization SubpartNo
Authorized OfficialDouglas WyckoffController · (952) 939-1637
Enumeration DateJune 2, 2008
Last NPPES UpdateMay 14, 2019
✔ NPI 1558529941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
3630 PHILLIPS PKWY, St Louis Park, MN 55426
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Other Names 1

Doing Business AsSholom Hospice

Other Identifiers 1

Medicaid271243100MN

Other Providers at the Same Location NPPES

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

MS. PAMELA JUNE GUSDAL MT-BC
Music Therapist
3630 PHILLIPS PKWY
ST LOUIS PARK, MN 55426
Hennepin County (952) 939-1606

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 1558529941. It was assigned to this organization in the NPPES registry on June 2, 2008. The provider is doing business as Sholom Hospice.

Where is Sholom Community Alliance Home Health Care located?

Sholom Community Alliance Home Health Care is located at 3630 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 Hospice Care, Community Based with taxonomy code 251G00000X.

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.