NPIMap

Organization Active NPI

Interfaith Residence

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1750657888
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTERFAITH RESIDENCE
Practice address
4385 Maryland Ave
Saint Louis, MO 63108-2703
Phone
(314) 535-1919
Fax
(314) 535-1209
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Ms. Opal Jones
Title
President & Ceo
Phone
(314) 535-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4385 Maryland Ave
Saint Louis, MO 63108-2703

Mailing address

1101 N Jefferson Ave
Saint Louis, MO 63106-2222
Phone (314) 535-1919

Other names 2

  • Cooper House Doing business as
  • DOORWAYS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Interfaith Residence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1750657888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N JEFFERSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631062222",
            "telephone_number": "314-535-1919",
            "fax_number": "314-535-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082703",
            "telephone_number": "314-535-1919",
            "fax_number": "314-535-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "314-535-1919",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOORWAYS",
            "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 Feb 3, 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.