MEDICARE: UBANTUU L.L.C

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101YP1600X	Pastoral Counselor
4	174200000X	Meals Provider
5	251B00000X	Case Management Agency
6	251C00000X	Developmentally Disabled Services Day Training Agency
7	251S00000X	Community/Behavioral Health Agency
8	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1770413775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UBANTUU L.L.C

Provider Business Mailing Address
First Line	:	1983BEDFORD AVE
Second Line	:	BSMT
City	:	BROOKLYN
State	:	NY
Zip	:	11225
Country	:	US
Telephone Number	:	347-604-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1563 UNIONPORT RD APT 6C
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-5944
Country	:	US
Telephone Number	:	347-604-5800
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PATRICK ANTHONY SANDS
Credential	:	CPL
Telephone Number	:	347-604-5800

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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