Nylah Alease Hair Collection LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NYLAH ALEASE HAIR COLLECTION LLC

Doing business as

Nylah Alease Medical Rx

Practice address

22725Greater Mack Ave
Ste 301B PMB 501
St Clair Shores, MI 48080

Phone

(800) 212-2682

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Candice Harris

Title

Cranial Prosthesis Specialist

Phone

(800) 212-2682

Specialties & licenses 1

Addresses

Other names 1

• Nylah Alease Medical Rx Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1730877234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725GREATER MACK AVE",
            "address_2": "STE 301B PMB 501",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "800-212-2682",
            "fax_number": "877-349-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725GREATER MACK AVE",
            "address_2": "STE 301B PMB 501",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "800-212-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYLAH ALEASE HAIR COLLECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "800-212-2682"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "877-349-5853",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "22725Greater Mack Ave",
            "address_2": "Ste 301B PMB 501",
            "city": "St Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nylah Alease Medical Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rudolph Sam Nucci, VETERINARIAN
• Charles Nudelman
• Kacee Nuppnau
• James Matthew Nuse, BCBA
• Nutrition Balance LLC
• Rachel Eileen O'Byrne, MD
• Manuela B O'Campo, MD
• Alfonso V O'Neill, M.D.
• Hannah Occhietti
• Lee Ockner, D.D.S.

• Prosthetic/Orthotic Supplier in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.