Twelve Tribes of Yisrael

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

TWELVE TRIBES OF YISRAEL

Practice address

654 N 38TH St
East Saint Louis, IL 62205-2106

Phone

(618) 494-4701

NPI assigned

Aug 18, 2025

Organization subpart

No

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

Authorized official

Name

Kevin Jones

Title

Driver

Phone

(314) 201-0959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1952288458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 STANWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 N 38TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052106",
            "telephone_number": "618-494-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE TRIBES OF YISRAEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DRIVER",
        "authorized_official_telephone_number": "314-201-0959"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lyle Swanson, COTA/L
• Stephanie Michelle Tate-Patterson, NP
• Tiffany Reed Tate-Woodard, AGNP
• Total Renal Care Inc (Edgemont Dialysis)
• Kelsey Rae Traeger, MSW, LSW
• United Home Health Care Agency
• United We Trust Home Care
• Uplift Homecare LLC
• Mayra Velasco
• Virgil Calvert Nursing & Rehabilitation Center

• Private Vehicle in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Private Vehicle in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.