Ubu Synergy Support LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UBU SYNERGY SUPPORT LLC

Practice address

5814 Blackshire Path
Inver Grove Heights, MN 55076-1618

Phone

(651) 300-6550

Fax

(651) 305-9395

NPI assigned

Dec 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alyssa Ruff

Title

Business Owner

Phone

(651) 300-6550

Specialties & licenses 1

Addresses

Other names 1

• UBU Synergy Support Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1417595463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 BRANSON DR",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550763524",
            "telephone_number": "651-230-6774",
            "fax_number": "651-305-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761618",
            "telephone_number": "651-300-6550",
            "fax_number": "651-305-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBU SYNERGY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "651-300-6550"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UBU Synergy Support",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UBU Synergy Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.