Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sholom Home West Inc

Organization Skilled Nursing Facility · NPI 1770560005

Sholom Home West Inc is a Skilled Nursing Facility in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3620 Phillips Pkwy
St Louis Park, MN 55426-3700
Phone: (952) 935-6311
Fax: (952) 935-2701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 328688 (MN)

Record details

NPI number1770560005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Wyckoff — Controller · (952) 939-1637
NPI enumeratedDecember 28, 2005
Last updated in NPPESMay 14, 2019
Mailing address3620 Phillips Pkwy, St Louis Park, MN 55426-3700

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