Active NPI
Abide Inn, LLC
Doing business as Abide Inn
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1174422620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joslyn Tiesha Wallace, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Social Worker
- Saint Louis, MO
- NPI 1316719651
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.