Organization Active NPI

Bountiful Benevolence in Home Services Inc

  • In Home Supportive Care Agency
  • Saint Peters, MO
National Provider Identifier
1154241735
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BOUNTIFUL BENEVOLENCE IN HOME SERVICES INC
Practice address
1000 Mid Rivers Mall Dr Ste B2
Saint Peters, MO 63376-2171
Phone
(636) 395-2361
Fax
(363) 538-7008
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tyren Cotton
Title
Owner/Director of Operations
Phone
(636) 395-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1000 Mid Rivers Mall Dr Ste B2
Saint Peters, MO 63376-2171

Mailing address

1000 Mid Rivers Mall Dr Ste B2
Saint Peters, MO 63376-2171
Phone (636) 395-2361

National Provider Directory

National Provider Directory

Locations

1000 Mid Rivers Mall Dr
Ste B2
Saint Peters, MO 63376
Phone (636) 395-2361

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1154241735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MID RIVERS MALL DR STE B2",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762171",
            "telephone_number": "636-395-2361",
            "fax_number": "363-538-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MID RIVERS MALL DR STE B2",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762171",
            "telephone_number": "636-395-2361",
            "fax_number": "363-538-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL BENEVOLENCE IN HOME SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "TYREN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "636-395-2361"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.