NPIMap

Organization Active NPI

Cooperative Home Care, Inc.

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1467437475
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
775 Issued in MO
Legal business name
COOPERATIVE HOME CARE, INC.
Practice address
1924 Marconi Ave
Saint Louis, MO 63110-3038
Phone
(314) 776-2336
Fax
(314) 865-4418
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Kristyann Pfister
Title
Vice President
Phone
(314) 779-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 775 MO Primary

Addresses

Primary practice location

1924 Marconi Ave
Saint Louis, MO 63110-3038

Mailing address

1924 Marconi Ave
Saint Louis, MO 63110-3038
Phone (314) 772-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051220000367 MO Part A Provider - Home Health Agency 5294757183 Practice locations: Saint Louis, MO

Home health agency certification: CCN 267562

Legal name
COOPERATIVE HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 3, 2000
Last certification
Apr 4, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 1, 1986 in MO
Enrollment address
1924 Marconi Ave
Saint Louis, MO 63110-3038
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cooperative Home Care, IncCCN 267562 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 3, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Cooperative Home Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1006 N Truman Blvd
#A
Crystal City, MO 63019

801 S Woodlawn Ave
Ste 21
O Fallon, MO 63366

1924 Marconi Ave
Saint Louis, MO 63110
Phone (314) 772-8585

104 S McKinley Ave
Ste D
Union, MO 63084
Phone (636) 583-7738

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michel Isaac Waks Individual 5% Or Greater Direct Ownership InterestCeo Jun 25, 2018 100%
Corporate OfficerCeo President Board Member Aug 11, 1994
Corporate DirectorCeo President Board Aug 11, 1994
Operational/Managerial ControlCeo President Board Member Jul 1, 1990
Robin L Gladwill Individual W-2 Managing EmployeeDirector of Operations Feb 11, 2019 49%

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1467437475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 MARCONI AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103038",
            "telephone_number": "314-772-8585",
            "fax_number": "314-735-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 MARCONI AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103038",
            "telephone_number": "314-776-2336",
            "fax_number": "314-865-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "KRISTYANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-779-9900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.