MEDICARE: BEYOND QUALIFIED HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1275499626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND QUALIFIED HOMECARE LLC

Provider Business Mailing Address
First Line	:	1825 MULLANPHY LN
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-3635
Country	:	US
Telephone Number	:	314-898-3701
Fax Number	:	314-558-3068

Provider Business Practice Location Address
First Line	:	3159 FEE FEE RD STE 227
Second Line	:
City	:	BRIDGETON
State	:	MO
Zip	:	63044-3372
Country	:	US
Telephone Number	:	314-887-9711
Fax Number	:	314-558-3098

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ROSE MARIE POWELL
Credential	:
Telephone Number	:	314-898-3701

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

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