Organization Active NPI

4TH Generation Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1104770841
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
4TH GENERATION ADULT DAY CARE LLC
Practice address
8700 Goodfellow Blvd
Saint Louis, MO 63147-1446
Phone
(314) 473-1118
NPI assigned
Feb 20, 2026
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Barry D Moore
Title
Executive Director
Phone
(314) 473-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

8700 Goodfellow Blvd
Saint Louis, MO 63147-1446

Mailing address

8700 Goodfellow Blvd
Saint Louis, MO 63147-1446

National Provider Directory

National Provider Directory

Locations

8700 Goodfellow Blvd
Saint Louis, MO 63147
Phone (314) 376-4017

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1104770841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471446",
            "telephone_number": "314-473-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4TH GENERATION ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-473-1118"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "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 Feb 20, 2026; 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.