Sholom Hospice – Community Based Hospice Care Agency, NPI 1558529941

Sholom Hospice is a healthcare provider. based in St louis park, Minnesota. specializing in Community Based Hospice Care Agency. The NPI Number for Sholom Hospice is 1558529941

Main info

Organization
Name
Sholom Hospice
NPI
1558529941
Phone
(952) 939-1515
Address
3630 PHILLIPS PKWY
Authorized Official
DOUGLAS WYCKOFF CONTROLLER
Enumeration Date
2 June 2008
Last Update Date
14 May 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Sholom Hospice

  • 3630 PHILLIPS PKWY

    ST LOUIS PARK, MN 554263792

    Phone: (952) 939-1515

    Fax: (952) 933-1485

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080903000490OHospiceMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55426)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Sholom Hospice listed with a National Provider Identifier?
Yes — Sholom Hospice has NPI 1558529941 on file in the registry.
Would Sholom Hospice appear as active to a payer?
You can treat Sholom Hospice as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for Sholom Hospice?
At a glance, Sholom Hospice is tied to Community Based Hospice Care Agency. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Sholom Hospice?
Travel planning: use St Louis Park, Minnesota as the reference point for Sholom Hospice, then confirm.
When was this NPI issued?
Enumeration for Sholom Hospice is noted as June 2, 2008 where the registry provides it.

Similar Providers

Park Nicollet Methodist Hospital Hospice

Community Based Hospice Care Agency
8170 33RD AVENUE SOUTH
NPI: 1467403444

Brighton Hospice

Community Based Hospice Care Agency
9800 S MONROE ST # 900
NPI: 1891118931

DAWN MARIE JOHNSON (COTA)

Community Based Hospice Care Agency
4500 PARK GLEN RD STE 475
NPI: 1285156240

LIFESPARK HOSPICE, LLC

Community Based Hospice Care Agency
5320 W 23RD ST STE 130
NPI: 1295379154