OrganizationActive
Sholom Community Alliance, LLC
NPI 1972169159 · Assisted Living Facility · St Louis Park, MN
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
Established profile(66/100 index)
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
3610 Phillips Pkwy
St Louis Park, MN 55426-3765
Phone: (952) 908-1700
Street-level locationGet directions
Mailing address
3610 Phillips Pkwy
St Louis Park, MN 55426-3765
Other names (DBA / former)
- Doing business as
- Roitenberg Family Assisted Living Residence
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 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.