Active NPI
Militia of Grace Adult Care Center 'LLC'
- Adult Day Care Clinic/Center
- Saint Louis, MO
National Provider Identifier
1073349577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MILITIA OF GRACE ADULT CARE CENTER 'LLC'
- Practice address
- 4266 E Natural Bridge Ave
Saint Louis, MO 63115-3311 - Phone
- (314) 828-0804
- NPI assigned
- Sep 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. BJ T. Buchannon
- Title
- Ceo/Owner
- Phone
- (314) 828-0804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
4266 E Natural Bridge Ave
Saint Louis, MO 63115-3311
Mailing address
4266 E Natural Bridge Ave
Saint Louis, MO 63115-3311
Phone (314) 828-0804
Other names 1
- MILITIA OF GRACE ADULT CARE CENTER
National Provider Directory
National Provider DirectoryLocations
4266 E Natural Bridge Ave
Saint Louis, MO 63115
Phone (314) 828-0804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1073349577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4266 E NATURAL BRIDGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631153311",
"telephone_number": "314-828-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4266 E NATURAL BRIDGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631153311",
"telephone_number": "314-828-0804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILITIA OF GRACE ADULT CARE CENTER 'LLC'",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-11",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "BUCHANNON",
"authorized_official_first_name": "BJ",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "314-828-0804",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MILITIA OF GRACE ADULT CARE CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MILITIA OF GRACE ADULT CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 30, 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.