Healthcare Provider Details

I. General information

NPI: 1750771796
Provider Name (Legal Business Name): BJC HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2015
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS MO
63141-8573
US

IV. Provider business mailing address

670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS MO
63141-8573
US

V. Phone/Fax

Practice location:
  • Phone: 314-953-2000
  • Fax: 314-953-2008
Mailing address:
  • Phone: 314-953-2000
  • Fax: 314-953-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSANNE MARIE ROSENBERG
Title or Position: VICE PRESIDENT
Credential:
Phone: 314-699-3432