Healthcare Provider Details

I. General information

NPI: 1275462210
Provider Name (Legal Business Name): NALANI NEEDS DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6533 E JEFFERSON AVE APT 412
DETROIT MI
48207-4363
US

IV. Provider business mailing address

PO BOX 725332
BERKLEY MI
48072-5332
US

V. Phone/Fax

Practice location:
  • Phone: 313-300-4935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA HERNDON
Title or Position: OWNER
Credential:
Phone: 313-300-4935