Healthcare Provider Details

I. General information

NPI: 1184045171
Provider Name (Legal Business Name): UZAZI VILLAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 TROOST AVE
KANSAS CITY MO
64110-1240
US

IV. Provider business mailing address

4232 TROOST AVE
KANSAS CITY MO
64110-1240
US

V. Phone/Fax

Practice location:
  • Phone: 816-541-3718
  • Fax:
Mailing address:
  • Phone: 816-541-3718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHALESE CLAY
Title or Position: CEO
Credential:
Phone: 816-529-7407