Healthcare Provider Details

I. General information

NPI: 1376602557
Provider Name (Legal Business Name): ABC'ND ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930 WASHINGTON ST
KANSAS CITY MO
64111-2925
US

IV. Provider business mailing address

3930 WASHINGTON ST
KANSAS CITY MO
64111-2925
US

V. Phone/Fax

Practice location:
  • Phone: 816-931-8300
  • Fax: 877-349-8814
Mailing address:
  • Phone: 816-931-8300
  • Fax: 877-349-8814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2004025480
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2006020304
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2006022415
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2006024413
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number999-221
License Number StateMO

VIII. Authorized Official

Name: MRS. NANCY D MICHAEL
Title or Position: DIRECTOR OWNER
Credential:
Phone: 816-931-8300