Sholom Home West Inc
NPI 1770560005ActiveOrganization· Skilled Nursing Facility· St Louis Park, MN
Skilled Nursing Facility in St Louis Park, Minnesota, registered in NPPES in December 2005. The authorized official on file is Douglas Wyckoff, Controller. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1770560005 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2005 |
| Last updated in NPPES | May 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 328688 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MN) |
|---|
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