Sholom Home East Inc

LBN: Sholom Home East Inc
Sholom Home East Inc is an health care organization with primary practice located at 740 Kay Ave , Saint Paul MN 55102-6014. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Sholom Home East Inc can be contacted via phone (651) 328-2000, or through Wyckoff, Douglas via phone (952) 939-1637.

Contact Information

Primary practice address
740 Kay Ave Saint Paul MN 55102-6014
Phone: (651) 328-2000
Fax: (651) 328-2070
Website:
Map and Directions
Authorized official contact:
Name: Wyckoff, Douglas
Phone: (952) 939-1637

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 328527 Minnesota

Profile Details

NPI number 1992782221
LBN Legal business name Sholom Home East Inc
DBA Doing business as
Authorized official Wyckoff, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated May 14th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992782221 NPPES
Other 8649SH BLUE CROSS
Other 7100365 BLUE CROSS
Other 7122642 BLUE CROSS
Other 00263 BLUE CROSS
MEDICAID 529242500 BLUE CROSS
Other NH0089 BLUE CROSS

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