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COOPERATIVE HOME CARE
NPI 1043369473
Home Health in Saint Louis, MO

Active since January 08, 2007CLIA 26D0963960 · Waiver
1924 MARCONI AVE, SAINT LOUIS, MO 63110(314) 772-8585(314) 772-2820 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cooperative Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPERATIVE HOME CARE (NPI 1043369473) is a healthcare organization registered as a home health in Saint Louis, Missouri and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Mitch I Waks, Ceo & Owner, as its authorized official.

NPPES Registry Identity

NPI1043369473
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCOOPERATIVE HOME CARE
Location Address1924 MARCONI AVESaint Louis, MO 63110-3038
Mailing Address1924 Marconi AveSaint Louis, MO 63110-3038 · (314) 772-8585 · Fax (314) 772-2820
Phone(314) 772-8585
Fax(314) 772-2820
Organization SubpartNo
Authorized OfficialMitch I WaksCeo & Owner · (314) 772-8585
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 26, 2019
✔ NPI 1043369473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MO · 0001287
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1924 MARCONI AVE, Saint Louis, MO 63110
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Other Identifiers 4

Medicaid282335702MO
Medicaid5149347MO
Medicaid262335706MO
Medicaid852335702MO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0963960

Cooperative Home Care Inc · Saint Louis, MO
Active · expires Aug 16, 2027
CLIA Number26D0963960
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorKristin Schober
Laboratory Phone(314) 772-8585
Laboratory LocationCooperative Home Care Inc1924 Marconi Ave, Saint Louis, MO 63110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COOPERATIVE HOME CARE, INC.
Nursing Care
1924 MARCONI AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 779-9900
COOPERATIVE HOME CARE INC.
Hospice Care, Community Based
1924 MARCONI AVE, 1924 MARCONI AVENUE
SAINT LOUIS, MO 63110
St. Louis City (314) 571-7855
COOPERATIVE HOME CARE, INC.
Home Health
1924 MARCONI AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 776-2336
COOPERATIVE HOME CARE
Home Health
1924 MARCONI AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 772-8585
COOPERATIVE HOME CARE
Home Health
1924 MARCONI AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 772-8585
COOPERATIVE HOME CARE, INC.
Home Health
1924 MARCONI AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 772-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooperative Home Care's NPI number?

The NPI number for Cooperative Home Care is 1043369473. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Cooperative Home Care located?

Cooperative Home Care is located at 1924 Marconi Ave, Saint Louis, MO 63110. The listed phone number is (314) 772-8585.

What is Cooperative Home Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Cooperative Home Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0963960) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cooperative Home Care was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.