Sholom Home West Inc in St Louis Park - Skilled Nursing Facility
Sholom Home West Inc - NPI 1770560005
Sholom Home West Inc is a Skilled Nursing Facility in St Louis Park, Minnesota. Sholom Home West Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sholom Home West Inc is 1770560005. The last update date is 2019-05-14.
Sholom Home West Inc's current location address is 3620 Phillips Pkwy, St Louis Park, Minnesota. You can contact this provider via phone number 9529356311 and fax number 9529352701. The mailing address for Sholom Home West Inc is 3620 Phillips Pkwy, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sholom Home West Inc |
|---|---|
| Address | 3620 Phillips Pkwy, St Louis Park, Minnesota |
| Phone Number | 9529356311 |
| Fax Number | 9529352701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Wyckoff Douglas |
| Telephone Number | 9529391637 |
NPI Number Detail
| NPI Number | 1770560005 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2019-05-14 |
Provider Mailing Address Detail
| Address | 3620 Phillips Pkwy |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554263700 |
| Phone Number | 9529356311 |
| Fax Number | 9529352701 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 328688 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23377 | MN | HEALTH PARTNERS | |
| 4553SH | MN | BLUE CROSS OF MINNESOTA | |
| 971216005 | MN | METRA HEALTH | |
| 151743100 | MN | -- | |
| NH0048 | MN | UCARE | |
| 320420 | HIGHMARK | ||
| 30425 | ND | -- | |
| 7100366 | MN | EVERCARE | |
| 7122633 | MN | MEDICA |
Post Comment/ Review Below
What is the unique identifier code issued to Sholom Home West Inc by the Centers for Medicare & Medicaid Services?
The Sholom Home West Inc has been assigned the NPI (National Provider Identifier) 1770560005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sholom Home West Inc's facilities are situated?
The facilities of Sholom Home West Inc are physically located at the following address: 3620 Phillips Pkwy, St Louis Park, MN, 554263700.
What is Sholom Home West Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sholom Home West Inc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date was the 1770560005 assigned to Sholom Home West Inc?
The Sholom Home West Inc was issued its 1770560005 on 2005-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Sholom Home West Inc last refreshed?
The information related to the Sholom Home West Inc, including its address, specialty, and other relevant details, was last updated on 2019-05-14.