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SHOLOM HOME EAST INC
NPI 1992782221
Skilled Nursing Facility in Saint Paul, MN

Active since December 28, 2005CLIA 24D0677227 · Waiver
2/5
Overall Rating
740 KAY AVE, SAINT PAUL, MN 55102(651) 328-2000(651) 328-2070 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 Home East Inc NPPES

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

SHOLOM HOME EAST INC (NPI 1992782221) is a healthcare organization registered as a skilled nursing facility in Saint Paul, Minnesota and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains a secondary practice location in St Paul, and lists Douglas Wyckoff, Controller, as its authorized official.

NPPES Registry Identity

NPI1992782221
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHOLOM HOME EAST INC
Location Address740 KAY AVESaint Paul, MN 55102-6014
Mailing Address740 Kay AveSaint Paul, MN 55102-6014 · (651) 328-2000 · Fax (651) 328-2070
Phone(651) 328-2000
Fax(651) 328-2070
Organization SubpartNo
Authorized OfficialDouglas WyckoffController · (952) 939-1637
Enumeration DateDecember 28, 2005
Last NPPES UpdateMay 14, 2019
✔ NPI 1992782221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in MN · 328527
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
740 KAY AVE, Saint Paul, MN 55102
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Secondary Practice Location 1

Location 11554 Midway PkwySt Paul, MN 55108 · Phone (651) 646-6311 · Fax (952) 935-2701

Other Identifiers 6

Medicaid529242500MN
Other7100365Medica
Other7122642Medica
Other8649SHBlue Cross
OtherNH0089Ucare
Other00263Health Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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 24D0677227

Sholom Home Inc East Campus · Saint Paul, MN
Active · expires Aug 31, 2026
CLIA Number24D0677227
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrett Larson
Laboratory Phone(651) 646-6311
Laboratory LocationSholom Home Inc East Campus740 Kay Ave, Saint Paul, MN 55102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Shirley Chapman Sholom Home East (CMS certification number 245411), from CMS Care Compare.

Shirley Chapman Sholom Home East

Nursing home · Saint Paul, MN
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number245411
Certified Beds118 beds97 residents per day on average
Medicare & Medicaid Participant SinceFebruary 1, 1987
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
82
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.84 · LPN 1.37 · RN 1.23
5.44 hrs per resident per day
Weekend Nurse Staffing
4.85 hrs per resident per day
Physical Therapist Staffing
0.12 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
45.5%
Registered Nurse Turnover
59.3%
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
13
Substantiated Complaints
2
Fines
2 totaling $32,439.00
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

MRS. KRISTINA MARIE MAY BROWN LPN
Licensed Practical Nurse
740 KAY AVE
SAINT PAUL, MN 55102
Ramsey County (651) 328-2120

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 Home East Inc's NPI number?

The NPI number for Sholom Home East Inc is 1992782221. It was assigned to this organization in the NPPES registry on December 28, 2005.

Where is Sholom Home East Inc located?

Sholom Home East Inc is located at 740 Kay Ave, Saint Paul, MN 55102. The listed phone number is (651) 328-2000.

What is Sholom Home East Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sholom Home East Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0677227) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sholom Home East Inc a Medicare-certified nursing home?

Yes. Shirley Chapman Sholom Home East is a Medicare-certified nursing home with 118 certified beds.

What quality rating does Sholom Home East Inc have?

CMS rates Shirley Chapman Sholom Home East 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Sholom Home East Inc accept?

Health plans from HealthPartners and Medica list Sholom Home East Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sholom Home East Inc 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.