Active NPI
4TH Generation Adult Day Care LLC
- Adult Day Care Clinic/Center
- Saint Louis, MO
National Provider Identifier
1104770841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2026
- 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
- Barry D Moore
- Title
- Executive Director
- Phone
- (314) 473-1118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.