4TH GENERATION ADULT DAY CARE LLC – NPI #1104770841
Clinic/Center

4TH GENERATION ADULT DAY CARE LLC is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1104770841 to 4TH GENERATION ADULT DAY CARE LLC on February 20, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 4TH GENERATION ADULT DAY CARE LLC below.

NPI Profile for
4TH GENERATION ADULT DAY CARE LLC

NPI Number
1104770841
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
4TH GENERATION ADULT DAY CARE LLC
Primary location
8700 GOODFELLOW BLVD
SAINT LOUIS, MO 63147-1446
Phone: (314) 473-1118 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BARRY MOORE
EXECUTIVE DIRECTOR
Phone: (314) 473-1118
Updated
Certification Date
Feb 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.