Organization Active NPI

Bear Creek Home Healthcare LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1538047642
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEAR CREEK HOME HEALTHCARE LLC
Practice address
1515 N Warson Rd Ste 138
Saint Louis, MO 63132-1111
Phone
(636) 342-0279
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Shaun Black
Title
Executive Director
Phone
(636) 342-0279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1515 N Warson Rd Ste 138
Saint Louis, MO 63132-1111

Mailing address

1515 N Warson Rd Ste 138
Saint Louis, MO 63132-1111

National Provider Directory

National Provider Directory
Tax ID family
Bear Creek Home Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1538047642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 138",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 138",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321111",
            "telephone_number": "636-342-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-342-0279"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.