SHOLOM COMMUNITY ALLIANCE, LLC
NPI 1972169159
Assisted Living Facility in St Louis Park, MN

Q: What is Sholom Community Alliance, LLC's NPI number?

The NPI number for Sholom Community Alliance, LLC is 1972169159. It was assigned to this organization in the NPPES registry on May 14, 2019. The provider is doing business as Roitenberg Family Assisted Living Residence.

Q: What is Sholom Community Alliance, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 14, 2019

3610 PHILLIPS PKWY, ST LOUIS PARK, MN 55426(952) 908-1700 Get Directions Write a Review

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

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About Sholom Community Alliance, Llc NPPES

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

SHOLOM COMMUNITY ALLIANCE, LLC (NPI 1972169159), doing business as Roitenberg Family Assisted Living Residence, is a healthcare organization registered as an assisted living facility in St Louis Park, Minnesota and active in the NPI registry since May 2019. The organization lists Douglas Wyckoff, Controller, as its authorized official.

NPPES Registry Identity

NPI1972169159

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSHOLOM COMMUNITY ALLIANCE, LLC

Location Address3610 PHILLIPS PKWYSt Louis Park, MN 55426-3765

Mailing Address3610 Phillips PkwySt Louis Park, MN 55426-3765

Phone(952) 908-1700

Organization SubpartNo

Authorized OfficialDouglas WyckoffController · (952) 939-1637

Enumeration DateMay 14, 2019

✔ NPI 1972169159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3610 PHILLIPS PKWY, St Louis Park, MN 55426

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Other Names 1

Doing Business AsRoitenberg Family Assisted Living Residence

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, LLC's NPI number?

The NPI number for Sholom Community Alliance, LLC is 1972169159. It was assigned to this organization in the NPPES registry on May 14, 2019. The provider is doing business as Roitenberg Family Assisted Living Residence.

Where is Sholom Community Alliance, LLC located?

Sholom Community Alliance, LLC is located at 3610 Phillips Pkwy, St Louis Park, MN 55426. The listed phone number is (952) 908-1700.

What is Sholom Community Alliance, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Sholom Community Alliance, LLC 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.