Organization Active NPI

Abide Inn, LLC

Doing business as Abide Inn

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1174422620
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABIDE INN, LLC
Doing business as
Abide Inn
Practice address
4422 Dothan Dr
Saint Louis, MO 63134-4114
Phone
(314) 489-7373
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joslyn Tiesha Wallace, LCSWNPI 1316719651
Title
Co-Owner
Phone
(314) 322-3044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4422 Dothan Dr
Saint Louis, MO 63134-4114

Mailing address

4422 Dothan Dr
Saint Louis, MO 63134-4114
Phone (314) 489-7373

Other names 1

  • Abide Inn Doing business as

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1174422620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 DOTHAN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631344114",
            "telephone_number": "314-489-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 DOTHAN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631344114",
            "telephone_number": "314-489-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDE INN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOSLYN",
        "authorized_official_middle_name": "TIESHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "314-322-3044",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abide Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.