EXCELL DIABETIC SUPPLY LLC NPI 1205868072

NPI Information

  • NPI: 1205868072
  • Provider Name: EXCELL DIABETIC SUPPLY LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 24901 NORTHWESTERN HWY
    SUITE 104
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 351-0622

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NPI Details

EXCELL DIABETIC SUPPLY LLC is a durable medical equipment medical supplies in Southfield, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EXCELL DIABETIC SUPPLY LLC NPI is 1205868072. The provider is registered as an organization entity type.

The provider's business location address is:

24901 NORTHWESTERN HWY
SUITE 104
SOUTHFIELD, MI
ZIP 48075-203
Phone: (248) 351-0622
Fax: (248) 479-1929

The provider's authorized official is Kyle John Holmes .
The authorized official title is Owner and has the following contact phone number (248) 351-0622.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 11/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14479420001MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
2540F319370OTHERMICHIGANBLUE CROSS BLUE SHEILD
3=========MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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