SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE is a home health in St Louis Park, MN. The provider is 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. SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE NPI is 1295704005. The provider is registered as an organization entity type.
The provider's business location address is:
3620 PHILLIPS PARKWAY
ST LOUIS PARK, MN
ZIP 55426-700
Phone: (952) 935-6311
Fax: (952) 935-2701
The provider's authorized official is Douglas Wyckoff .
The authorized official title is Controller and has the following contact phone number (952) 939-1637.
The CLIA number assigned to this NPI record is 24D1003359 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/15/2006 and was last updated on 5/14/2019.