Sholom Community Alliance, LLC
NPI 1972169159 · Assisted Living Facility · St Louis Park, MN
Sholom Community Alliance, LLC is a Assisted Living Facility organization in St Louis Park, MN (NPI 1972169159).
Provider details
- NPI number
- 1972169159
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Wyckoff, Controller(952) 939-1637
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
7 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
Other names (DBA / former)
- Doing business as
- Roitenberg Family Assisted Living Residence
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2019-05-14
Frequently asked questions
- What is Sholom Community Alliance, LLC's NPI number?
- Sholom Community Alliance, LLC's National Provider Identifier (NPI) is 1972169159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sholom Community Alliance, LLC?
- Sholom Community Alliance, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Sholom Community Alliance, LLC located?
- Sholom Community Alliance, LLC's practice location on file with NPPES is 3610 Phillips Pkwy, St Louis Park, MN 55426-3765.
- What is Sholom Community Alliance, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sholom Community Alliance, LLC is (952) 908-1700.
- Who is the authorized official for Sholom Community Alliance, LLC?
- The authorized official listed on Sholom Community Alliance, LLC'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 Community Alliance, LLC's NPI active?
- Yes — Sholom Community Alliance, LLC's NPI (1972169159) 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.