Healthcare Provider Details

I. General information

NPI: 1194634774
Provider Name (Legal Business Name): NANI'S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 BULL HILL LN APT 111
WEST HAVEN CT
06516-3935
US

IV. Provider business mailing address

155 BULL HILL LN APT 111
WEST HAVEN CT
06516-3935
US

V. Phone/Fax

Practice location:
  • Phone: 203-850-9356
  • Fax:
Mailing address:
  • Phone: 203-850-9356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MUMIN S SEIDAHMED
Title or Position: OWNER
Credential:
Phone: 203-850-9356