Sholom Home West Inc

LBN: Sholom Home West Inc
Sholom Home West Inc is an health care organization with primary practice located at 3620 Phillips Pkwy , St Louis Park MN 55426-3700. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Sholom Home West Inc can be contacted via phone (952) 935-6311, or through Wyckoff, Douglas via phone (952) 939-1637.

Contact Information

Primary practice address
3620 Phillips Pkwy St Louis Park MN 55426-3700
Phone: (952) 935-6311
Fax: (952) 935-2701
Website:
Map and Directions
Authorized official contact:
Name: Wyckoff, Douglas
Phone: (952) 939-1637

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 328688 Minnesota

Profile Details

NPI number 1770560005
LBN Legal business name Sholom Home West Inc
DBA Doing business as
Authorized official Wyckoff, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated May 14th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770560005 NPPES
Minnesota Other 23377 HEALTH PARTNERS
Minnesota Other 4553SH HEALTH PARTNERS
Minnesota Other 971216005 HEALTH PARTNERS
Minnesota MEDICAID 151743100 HEALTH PARTNERS
Minnesota Other NH0048 HEALTH PARTNERS
Minnesota Other 000320420 HEALTH PARTNERS
Minnesota MEDICAID 30425 HEALTH PARTNERS
Minnesota Other 7100366 HEALTH PARTNERS
Minnesota Other 7122633 HEALTH PARTNERS

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