MEDICARE: UBAC ENTERPRISES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	LC0699660	MO

General Provider Information

NPI Number	:	1639489347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UBAC ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	9804 BOOTH AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-1810
Country	:	US
Telephone Number	:	816-765-7794
Fax Number	:	816-765-7794

Provider Business Practice Location Address
First Line	:	9804 BOOTH AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-1810
Country	:	US
Telephone Number	:	816-765-7794
Fax Number	:	816-765-7794

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHERYL JOHNSON
Credential	:
Telephone Number	:	816-765-7794

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	10/15/2010

Similar Medicare Providers

1861469090 — MRS. JUNE ANN HUMPHREY FNP
Practice Location Address:

1810 NE 79TH CT
KANSAS CITY, MO
64118-1579

Practice Phone: 816-810-3728
Practice Fax:

1164629036 — DR. JODY KRUKOWSKI N.M.D
Practice Location Address:

1810 SUMMIT ST # 101
KANSAS CITY, MO
64108-2109

Practice Phone: 816-471-7227
Practice Fax: 816-471-7225

1538322938 — DR. EMILY KATHERINE HANDLEY DDS
Practice Location Address:

819 WALNUT ST , SUITE 101
KANSAS CITY, MO
64106-1810

Practice Phone: 816-421-6065
Practice Fax:

1376784033 — URBAN CORE RENTAL SERVICES
Practice Location Address:

1810 E 48TH TER
KANSAS CITY, MO
64130-2504

Practice Phone: 816-694-0733
Practice Fax:

1093944035 — ANTHONY CASTELLANO D.D.S.
Practice Location Address:

819 WALNUT ST , SUITE 101
KANSAS CITY, MO
64106-1810

Practice Phone: 816-421-6065
Practice Fax:

1427280890 — MS. STEPHANIE LYNN MALL L.AC.
Practice Location Address:

1810 SUMMIT ST
KANSAS CITY, MO
64108-2109

Practice Phone: 913-221-8410
Practice Fax:

Directions to “UBAC ENTERPRISES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.