| Organization Name: | BJC HOME CARE SERVICES |
| NPI Number: | 1316252463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILEE A STOCKMANN (DIRECTOR/ADMINISTRAT) |
| Mailing Address: | 1 Professional Dr Suiet 180 Alton |
| State: | IL US |
| Postal Code: | 620025068 |
| Phone Number: | 6184637100 |
| Fax Number: | 6184637127 |
| NPI Enumeration Date: | 08/13/2010 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2002178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |