Organization Active NPI

Hollywood Hosiery LLC

  • Prosthetic/Orthotic Supplier
  • Southfield, MI
National Provider Identifier
1952247090
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HOLLYWOOD HOSIERY LLC
Practice address
15801 Providence Dr Apt 12F
Southfield, MI 48075-3138
Phone
(313) 917-6769
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Cynthia Allen
Title
Licensed Cosmetologist
Phone
(313) 917-6769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

15801 Providence Dr Apt 12F
Southfield, MI 48075-3138

Mailing address

15801 Providence Dr Apt 12F
Southfield, MI 48075-3138
Phone (313) 917-6769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1952247090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 PROVIDENCE DR APT 12F",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753138",
            "telephone_number": "313-917-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 PROVIDENCE DR APT 12F",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753138",
            "telephone_number": "313-917-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD HOSIERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "LICENSED COSMETOLOGIST",
        "authorized_official_telephone_number": "313-917-6769"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.