SHOLOM HOSPICE
NPI 1558529941
Hospice Care, Community Based in St Louis Park, MN

NPI Status: Active since June 02, 2008

Contact Information

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

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  • Organization
  • Hospice Care, Community Based

About SHOLOM HOSPICE

This page provides the complete NPI Profile along with additional information for Sholom Hospice, a provider established in St Louis Park, Minnesota operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1558529941 assigned on June 2008. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Sholom Hospice. The authorized official of this NPI record is Douglas Wyckoff (Controller)

NPI
1558529941
Provider Legal Name
SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE
Other Organization Name
SHOLOM HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3630 PHILLIPS PKWY ST LOUIS PARK, MN 55426
Location Phone
(952) 939-1515
Location Fax
(952) 933-1485
Mailing Address
3630 PHILLIPS PKWY ST LOUIS PARK, MN 55426
Mailing Phone
(952) 939-1515
Mailing Fax
(952) 933-1485
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2008
Last Update Date
05-14-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOUGLAS WYCKOFF

Authorized Official Title
CONTROLLER
Authorized Official Phone
(952) 939-1637

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
271243100MEDICAID (05)MN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558529941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251081021898
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 0 + 2 + 1 + 8 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1558529941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164631123MS. PAMELA JUNE GUSDAL MT-BC
Individual
Music Therapist3630 PHILLIPS PKWY
ST LOUIS PARK, MN 55426
(952) 939-1606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558529941, enumerated in the NPI registry as an "organization" on June 02, 2008

The provider is located at 3630 Phillips Pkwy St Louis Park, Mn 55426 and the phone number is (952) 939-1515

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 02, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.