Sholom Home West Inc
NPI 1770560005 · Skilled Nursing Facility · St Louis Park, MN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sholom Home West Inc is a Skilled Nursing Facility organization in St Louis Park, MN (NPI 1770560005).
Provider details
- NPI number
- 1770560005
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Wyckoff, Controller(952) 939-1637
- License
- 328688 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2019-05-14
Frequently asked questions
- What is Sholom Home West Inc's NPI number?
- Sholom Home West Inc's National Provider Identifier (NPI) is 1770560005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sholom Home West Inc?
- Sholom Home West Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sholom Home West Inc located?
- Sholom Home West Inc's practice location on file with NPPES is 3620 Phillips Pkwy, St Louis Park, MN 55426-3700.
- What is Sholom Home West Inc's phone number?
- The practice phone number listed in the NPPES registry for Sholom Home West Inc is (952) 935-6311.
- Does Sholom Home West Inc accept Medicare?
- Sholom Home West Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sholom Home West Inc?
- The authorized official listed on Sholom Home West Inc's NPPES record is Douglas Wyckoff, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sholom Home West Inc's NPI active?
- Yes — Sholom Home West Inc's NPI (1770560005) is active in the NPPES registry as of the last update on 2019-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.