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Sholom Home East Inc

Skilled Nursing Facility in Saint Paul, MN · enumerated 2005 · authorized official Douglas Wyckoff, Controller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992782221

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Registry record

Entity type Organization (Type 2)
Legal business name Sholom Home East Inc
Practice address 740 Kay Ave, Saint Paul, MN, 55102
Fax (651) 328-2070
Enumeration date Dec 28, 2005
Last updated in NPPES May 14, 2019

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 328527 (MN) Primary

Authorized official

Name Douglas Wyckoff
Title Controller

Other identifiers

Identifier Type State Issuer
8649SH Other - BLUE CROSS
7100365 Other - MEDICA
7122642 Other - MEDICA
00263 Other - HEALTH PARTNERS
529242500 Medicaid MN -
NH0089 Other - UCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-05-14. Verify at npiregistry.cms.hhs.gov.
Where is Sholom Home East Inc located?
The practice location on file with NPPES is in Saint Paul, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-14.