Sholom Hospice



  
740 Kay Avenue, Saint Paul
Minnesota, 55102

 (65-1) -328-2091   Maps & Directions
Sholom Hospice, also known as Sholom Hospice is a hospice care center situated at Saint Paul, Minnesota. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Sholom Hospice accommodated approx. 87 Medicare beneficiaries whose average age was 87 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 241585. Sholom Hospice comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Sholom Hospice mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, other, physician services, physical therapy, short term inpatient care, speech pathology services.
Sholom Hospice provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Sholom Hospice type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 241585
Hospice’s Ownership Type:Non-Profit (02 Voluntary Non-Profit - Private)
Accreditation UnAccredited
Hospice Address:740 Kay Avenue, Saint Paul,
Minnesota, 55102
County:Ramsey
Phone:(65-1) -328-2091
Fax:952-933-1485
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Sholom Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:08 May, 2009
Current Status: Active Provider
Latest visit of the Health or LSC survey: 09 May, 2019
Certificate Provider: CMS Regional Office
CBSA Code 33460 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Sholom Hospice are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 87
RHC Days (in %) 100
Episode or Stay Count 91
Total Nursing Minutes 86880 Minutes (1448 Hours)
Days of Service 7,064
Average Age of Beneficiary 87 year
Average Risk Score of Beneficiaries 2.09
Total Medicare Payment Amount $ 1,323,856
Total Medicare Standard Payment Amount $ 1,231,231
Total Medicare Allowed Payment Amount $ 1,323,856
Total Charge Amount $ 2,130,977

Average Hospice Visit Count


Sholom Hospice have 1321 skilled nursing visits, 641 social work visits and 520 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Sholom Hospice rendered hospice services to 29% Male and 71% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Sholom Hospice provided hospice care to 97% White, 3% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Sholom Hospice, 60% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Sholom Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 14 of Neoplasms & Diseases of the Blood and Blood forming organs, 29 of Endocrine, Nutritional and Metabolic Diseases, 22 of Diseases of the Nervous System, 27 of Diseases of the Circulatory System,

Services Provided:
Services available at Sholom Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
HomemakerHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
OtherHospice Staff
Physician ServicesHospice Staff
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 97.893.6
Pain Screening 95.793.9
Pain Assessment 91.377.7
Dyspnea Screening 97.897.3
Dyspnea Treatment 96.094.6
Patients Treated with an Opioid who are Given a Bowel Regimen 94.993.3
Employee Count:
Sholom Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide2.00.0
Counseling0.6 0.0
Homemaker0.20.0
Medical Social Services1.00.0
Registered Nurses3.50.0
Practical/Vocational Nurses2.0 0.0
Other Personnel0.8 0.2
Physician Services0.1 0.0
TOTAL10.20.2
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Douglas Wyckoff
Position: Controller
Contact Number: 952-939-1637
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1558529941
NPI Enumeration Date: 02 Jun, 2008
NPI Last Update On: 14 May, 2019
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sholom Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based Primary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
271243100MedicaidMinnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3630 Phillips Pkwy,
St Louis Park, Minnesota
Zip: 55426-3792
Phone Number: 952-939-1515
Fax Number: 952-933-1485
Patients can reach Sholom Hospice at 740 Kay Avenue, Saint Paul, Minnesota or can call to book an appointment on (65-1) -328-2091.
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