Organization Active NPI

Healthy Living Medical Supply, LLC

  • Oxygen Equipment & Supplies (DME)
  • Detroit, MI
National Provider Identifier
1033142948
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HEALTHY LIVING MEDICAL SUPPLY, LLC
Practice address
1401 Vermont St Ste 110
Detroit, MI 48216-2402
Phone
(866) 779-8512
Fax
(866) 779-8511
NPI assigned
Jul 7, 2006
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Wendy Russalesi
Title
Cco
Phone
(484) 246-9499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X MI Primary

Addresses

Primary practice location

1401 Vermont St Ste 110
Detroit, MI 48216-2402

Mailing address

555 E North LN Ste 5075
Conshohocken, PA 19428-2490

Other names 1

  • Healthy Living Diabetic LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address orders@myhlms.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930008259 MI DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0345442281 Practice locations: Detroit, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Healthy Living Medical Supply LLC1401 Vermont St, Detroit, MI 48216-2402(313) 202-4996 Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies Does not accept assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory

Locations

1401 Vermont St
Ste 110
Detroit, MI 48216
Phone (313) 202-4996

2111 Woodward Ave
Ste 1100
Detroit, MI 48201

1095 Crooks Rd
Ste 400
Troy, MI 48084
Phone (866) 779-8512

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1033142948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 5075",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VERMONT ST STE 110",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482162402",
            "telephone_number": "866-779-8512",
            "fax_number": "866-779-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "orders@myhlms.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1401 Vermont St Ste 110",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482162402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthy Living Diabetic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.