Healthcare Provider Details

I. General information

NPI: 1275499626
Provider Name (Legal Business Name): BEYOND QUALIFIED HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3159 FEE FEE RD STE 227
BRIDGETON MO
63044-3372
US

IV. Provider business mailing address

3159 FEE FEE RD STE 227
BRIDGETON MO
63044-3372
US

V. Phone/Fax

Practice location:
  • Phone: 314-887-9711
  • Fax: 314-558-3098
Mailing address:
  • Phone: 314-887-9711
  • Fax: 314-558-3068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSE MARIE POWELL
Title or Position: OWNER
Credential:
Phone: 314-887-9711