Organization
BJC HOME CARE SERVICES
Active
Other names
BJC Home Infusion Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARTIN-DAVIS (PRESIDENT)
(314) 206-3712
Entity
Organization
Contact information
Practice address
710 SOUTH BOYLE AVENUE, SAINT LOUIS, MO 63110
(314) 953-2000
(314) 747-1509
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 953-1615
(314) 273-0704
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
004857
MO
251F00000X
Home Infusion Agency
054.014084
IL
251F00000X
Home Infusion Agency
320.006834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602514408
—
MO
05
—
622514404
—
MO
05
—
=========
—
IL
Enumeration date
08/08/2006
Last updated
03/12/2025
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