SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE NPI 1558529941

NPI Information

NPI: 1558529941
Provider Name: SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE

Doing Business As: SHOLOM HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3630 PHILLIPS PKWY
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 939-1515
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SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE is a hospice care community based in St Louis Park, MN. SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE NPI is 1558529941. The provider is registered as an organization entity type.
The provider Is Doing Business As Sholom Hospice.

The provider's business location address is:

3630 PHILLIPS PKWY
ST LOUIS PARK, MN
ZIP 55426-792
Phone: (952) 939-1515
Fax: (952) 933-1485

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 enumeration date for this NPI number is 6/2/2008 and was last updated on 5/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	271243100	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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