Organization Active NPI

Made Life Forever LLC

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1174474951
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MADE LIFE FOREVER LLC
Practice address
12196 Santa Rosa Dr
Detroit, MI 48204-5317
Phone
(313) 374-8943
Fax
(313) 447-3457
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Marie A MarshallNPI 1376494211
Title
Ceo
Phone
(313) 697-2985

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

12196 Santa Rosa Dr
Detroit, MI 48204-5317

Mailing address

12196 Santa Rosa Dr
Detroit, MI 48204-5317
Phone (313) 374-8943

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": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1174474951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12196 SANTA ROSA DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482045317",
            "telephone_number": "313-374-8943",
            "fax_number": "313-447-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12196 SANTA ROSA DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482045317",
            "telephone_number": "313-374-8943",
            "fax_number": "313-447-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE LIFE FOREVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-697-2985"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 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.