Organization Active NPI

Wellston Loop Community Development Corp.

  • Case Management Agency
  • Saint Louis, MO
National Provider Identifier
1407717622
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WELLSTON LOOP COMMUNITY DEVELOPMENT CORP.
Practice address
1514 Hodiamont Ave
Saint Louis, MO 63112-3619
Phone
(314) 309-8020
NPI assigned
Nov 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Kimberly Jayne, M.ED
Title
Director
Phone
(314) 309-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1514 Hodiamont Ave
Saint Louis, MO 63112-3619

Mailing address

1514 Hodiamont Ave
Saint Louis, MO 63112-3619
Phone (314) 309-8020

National Provider Directory

National Provider Directory

Locations

1514 Hodiamont Ave
Saint Louis, MO 63112
Phone (314) 309-8020

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1407717622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 HODIAMONT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123619",
            "telephone_number": "314-309-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 HODIAMONT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123619",
            "telephone_number": "314-309-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTON LOOP COMMUNITY DEVELOPMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "JAYNE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-309-8020",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.