Sholom Community Alliance Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE

Practice address

3620 Phillips Parkway
St Louis Park, MN 55426-3700

Phone

(952) 935-6311

Fax

(952) 935-2701

NPI assigned

Mar 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Wyckoff

Title

Controller

Phone

(952) 939-1637

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Sholom Community Alliance Home Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sholom Community Alliance Home Health Care

  dba Sholom Home Care

  • Home Health Agency
  • St Louis Park, MN
  • NPI 1386914588
  NPD tax ID
• Sholom Community Alliance Home Health Care

  dba Sholom Hospice

  • Community Based Hospice Care Agency
  • St Louis Park, MN
  • NPI 1558529941
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1295704005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 PHILLIPS PARKWAY",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263700",
            "telephone_number": "952-935-6311",
            "fax_number": "952-935-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 PHILLIPS PARKWAY",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263700",
            "telephone_number": "952-935-6311",
            "fax_number": "952-935-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "WYCKOFF",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "952-939-1637"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE UCARE",
            "identifier": "181119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271243100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE MEDICA",
            "identifier": "4980928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheron Home Health Care, LLC
• William S Shimp
• Jacob Shimpa, PHARM D
• Margaret Mary Shipitalo, OD, MS
• Omri Shochatovitz
• Sholom Community Alliance Home Health Care (Sholom Home Care)
• Sholom Community Alliance Home Health Care (Sholom Hospice)
• Sholom Community Alliance, LLC (Roitenberg Family Assisted Living Residence)
• Sholom Home West Inc
• Joan Marie Shopbell, RD

• Home Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.