Organization
BJC HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARTIN-DAVIS (PRESIDENT)
(314) 206-3712
Entity
Organization
Contact information
Practice address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 953-2000
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00010828
MO
251E00000X
Home Health Agency
1693722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003169
MEDICAID (LTACS)
MO
05
—
588690107
—
MO
Enumeration date
07/02/2006
Last updated
08/25/2025
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