Organization Active NPI

Unfailing Love CRC (Community Resource Center)

  • Community Health Worker
  • Saint Louis, MO
National Provider Identifier
1497585301
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
UNFAILING LOVE CRC (COMMUNITY RESOURCE CENTER)
Practice address
4068 Maffitt Ave
Saint Louis, MO 63113-3235
Phone
(314) 226-9705
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Jason Allen Barney Sr.
Title
Director
Phone
(314) 604-4561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

4068 Maffitt Ave
Saint Louis, MO 63113-3235

Mailing address

15563 Chaste St
Florissant, MO 63034-2173
Phone (314) 226-9705

Other names 1

  • Unfailing Love Christian Church Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1497585301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15563 CHASTE ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342173",
            "telephone_number": "314-226-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 MAFFITT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133235",
            "telephone_number": "314-226-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNFAILING LOVE CRC (COMMUNITY RESOURCE CENTER)",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-604-4561",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unfailing Love Christian Church",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 5, 2024; 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.