Organization Active NPI

Intentional Living Home Care LLC

  • In Home Supportive Care Agency
  • Grosse Pointe Woods, MI
National Provider Identifier
1043138746
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTENTIONAL LIVING HOME CARE LLC
Practice address
1179 Brys Dr
Grosse Pointe Woods, MI 48236-1213
Phone
(810) 328-3504
NPI assigned
Jul 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Martika MaysNPI 1992623292
Title
Owner/Operator
Phone
(810) 328-3504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1179 Brys Dr
Grosse Pointe Woods, MI 48236-1213

Mailing address

1179 Brys Dr
Grosse Pointe Woods, MI 48236-1213
Phone (810) 328-3504

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1043138746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 BRYS DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361213",
            "telephone_number": "810-328-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 BRYS DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361213",
            "telephone_number": "810-328-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL LIVING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "MARTIKA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "810-328-3504"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.