Organization · Type 2 NPI

Sholom Community Alliance Home Health Care

Home Health Agency · St. Louis Park, MN

NPI number 1386914588 Active

Practice location

3620 Phillips Pkwy
St. Louis Park, MN 55426-3700

Call (952) 939-1515 Map

Fax (952) 933-1485

Other practice locations

740 Kay Ave, St. Paul, MN 55102-6014 · (952) 939-1515

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	355707 (MN)

Home Health Agency: 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 organ…

4 other providers at this address

Other home health agency providers in St. Louis Park

See all in St. Louis Park →

NPI record

NPI: 1386914588
Entity type: Organization (Type 2)
Issued: Jan 4, 2012
Last updated: Apr 22, 2024
Status: Active
Subpart: Yes of Sholom Community Alliance Home Health Care

Other names

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Sholom Home Care · doing business as
Sholom Home Care · doing business as

Authorized official

Douglas Wyckoff
Controller
(952) 939-1637

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386914588

Sholom Community Alliance Home Health Care's National Provider Identifier is 1386914588, issued on Jan 4, 2012. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Apr 22, 2024.