Organization Active NPI

Militia of Grace Adult Care Center 'LLC'

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1073349577
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Apr 30, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.