Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
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

1825 MULLANPHY LN
FLORISSANT MO
63031-3635
US

V. Phone/Fax

Practice location:
  • Phone: 314-887-9711
  • Fax: 314-558-3098
Mailing address:
  • Phone: 314-898-3701
  • Fax: 314-558-3068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSE MARIE POWELL
Title or Position: OWNER
Credential:
Phone: 314-898-3701