BJC Home Care Services
Organization Active NPI Community Based Hospice Care Agency · Saint Louis, MO
NPI 1891705547 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1891705547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 00010918 (MO)
- Legal business name
- BJC HOME CARE SERVICES
- Practice address
- 670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573 - Phone
- (314) 953-1615
- Fax
- (314) 273-0704
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Angela Martin-Davis
- Title
- President
- Phone
- (314) 206-3712
Owners & managing parties with NPI records 3
-
Matthew A Broom, MD
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 9
Facilities with the same owner 32
Affiliated clinicians 93
-
Rebekah Allen, DO
-
Tahreem S Aziz, DO
-
Sophia Baig, MD
-
Erin L Bakanas, MD
-
William D Birenbaum, M.D.
-
Matthew E Boland, MD
-
Aaron Case, M.D
-
Ping Chang, MD
-
Pin-Wen Chen, MD
-
Sarah Davis, M.D.
-
Matthew R Decuffa, M.D.
-
Zamir Eidelman, MD
-
John T Ellena, MD
-
Michael P Fuller, MD
-
Daniel Gaitan, MD
Medicare Care Compare: Hospice
- Listed as
- BJC Hospice
- Ownership
- Non-Profit
- Certified
- Aug 15, 1988
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Hospice certification: CCN 261511
- Legal name
- BJC HOME CARE SERVICES
- Doing business as
- BJC HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 15, 1988
- Last certification
- Mar 25, 2021
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 10, 1987 in MO
- Enrollment address
- 301 S Jefferson St
Farmington, MO 63640-2554
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Susanne Rosenberg |
Corporate Officer |
Jul 31, 2023 | |
| W-2 Managing Employee |
Jul 31, 2023 | ||
| Operational/Managerial Control |
Jul 31, 2023 | ||
| Jennifer Martin |
W-2 Managing Employee |
Apr 8, 2024 | |
| Michele McKee |
Corporate Director |
Jan 1, 2026 | |
| Matthew a Broom |
Corporate Director |
Jan 1, 2026 | |
| Annette D Schnabel |
Corporate Director |
Jan 1, 2022 | |
| Operational/Managerial Control |
Jan 1, 2022 | ||
| TSZ Lau |
W-2 Managing Employee |
Apr 8, 2024 | |
| Ann Short |
W-2 Managing Employee |
Apr 8, 2024 | |
| David Braasch |
Corporate Officer |
Jan 1, 2021 | |
| Corporate Director |
Jan 1, 2021 | ||
| Operational/Managerial Control |
Jan 1, 2021 | ||
| Angelleen Peters-Lewis |
Corporate Director |
Jan 1, 2018 | |
| Operational/Managerial Control |
Jan 1, 2018 | ||
| BJC Health System |
Operational/Managerial Control | May 11, 1992 | |
| Trisha M Lollo |
Corporate Director |
Mar 15, 2013 | |
| Operational/Managerial Control |
Mar 15, 2013 | ||
| Angela Martin-Davis |
Corporate Officer |
Jul 12, 2023 | |
| Corporate Director |
Jul 12, 2023 | ||
| W-2 Managing Employee |
Jul 12, 2023 | ||
| Operational/Managerial Control |
Jul 12, 2023 | ||
| Kevin a Journagan |
Corporate Officer |
Jan 1, 2026 | |
| Corporate Director |
Jan 1, 2026 | ||
| Elizabeth Lawson |
Corporate Officer |
Jan 1, 2022 | |
| Operational/Managerial Control |
Jan 1, 2022 | ||
| Scott Hawig |
Corporate Officer |
Jan 1, 2026 | |
| Operational/Managerial Control |
Jan 1, 2026 | ||
| Patrick H White |
Corporate Director |
Jan 1, 2016 | |
| W-2 Managing Employee |
Jan 1, 2016 | ||
| Operational/Managerial Control |
Jan 1, 2016 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| BJC Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 23, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040323000801 | MO | Part a Provider - Hospice | 6901716695 | Practice locations: Farmington, MO; Saint Louis, MO; Sullivan, MO |
National Provider Directory
- Tax ID family
- BJC Home Care Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 00010918 | MO | Yes |
Addresses
Primary practice location
670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573
Mailing address
670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573
Phone (314) 953-1615
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820541506 | Medicaid | MO |
Other names
- BJC Hospice
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Other providers in Saint Louis, MO
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- BJC Outpatient Imaging LLC
- Alyssa Bjerk
- BJH
- Aaron William Bjorn
- BKD Personal Assistance Services LLC
All providers in Saint Louis, MO · Community Based Hospice Care Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.