INTERFAITH RESIDENCE
NPI 1750657888
In Home Supportive Care in Saint Louis, MO
NPI Status: Active since March 22, 2012
Contact Information
4385 MARYLAND AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 535-1919
Fax: (314) 535-1209
- Organization
- In Home Supportive Care
- CLIA Number: 26D1087135
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 07-27-2026
About INTERFAITH RESIDENCE
This page provides the complete NPI Profile along with additional information for Interfaith Residence, a provider established in Saint Louis, Missouri operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1750657888 assigned on March 2012. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated February 2025. The provider's
- NPI
- 1750657888
- Provider Legal Name
- INTERFAITH RESIDENCE
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4385 MARYLAND AVE SAINT LOUIS, MO 63108
- Location Phone
- (314) 535-1919
- Location Fax
- (314) 535-1209
- Mailing Address
- 1101 N JEFFERSON AVE SAINT LOUIS, MO 63106
- Mailing Phone
- (314) 535-1919
- Mailing Fax
- (314) 535-1209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2012
- Last Update Date
- 02-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D1087135
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 28, 2024
- Certificate Expiration Date
- July 27, 2026
- Laboratory Director
- JAMES J. HINRICHS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Interfaith Residence to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 6 | 5 | 7 | 8 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 5 | 14 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 5 + 1 + 4 + 8 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1750657888 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
SSM HOME CARE PRIVATE DUTY
Home Health
4385 MARYLAND AVE
SAINT LOUIS, MO
ZIP 63108
SAMANTHA DONOVAN
Nursing Home Administrator
4385 MARYLAND AVE
SAINT LOUIS, MO
ZIP 63108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750657888, enumerated as an "organization" on March 22, 2012.
The provider is located at 4385 MARYLAND AVE SAINT LOUIS, MO 63108 and the phone number is (314) 535-1919.
In Home Supportive Care with taxonomy code 253Z00000X.
