Active NPI
Mind Over Matter Senior Living LLC
Doing business as LLC
- Home Health Agency
- Macomb, MI
National Provider Identifier
1356852313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MIND OVER MATTER SENIOR LIVING LLC
- Doing business as
- LLC
- Practice address
- 23087 Allium Ave
Macomb, MI 48042-5699 - Phone
- (586) 843-7188
- NPI assigned
- Oct 17, 2017
- Last updated
- Nov 3, 2025
- Organization subpart
- Yes
- Parent organization
- N/A
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Domonique Lashawn Alford, HOMECARE PROVIDER
- Title
- C.E.O
- Phone
- (586) 843-7189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
23087 Allium Ave
Macomb, MI 48042-5699
Mailing address
23087 Allium Ave
Macomb, MI 48042-5699
Phone (586) 843-7188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822715959 | Other | MA | MEDICARE |
| 822715959 | Medicaid | MI |
Other names 1
- LLC
National Provider Directory
National Provider Directory- Part of
- Mind Over Matter Senior Living LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1356852313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23087 ALLIUM AVE",
"city": "MACOMB",
"state": "MI",
"postal_code": "480425699",
"telephone_number": "586-843-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23087 ALLIUM AVE",
"city": "MACOMB",
"state": "MI",
"postal_code": "480425699",
"telephone_number": "586-843-7188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND OVER MATTER SENIOR LIVING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "N/A",
"enumeration_date": "2017-10-17",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "ALFORD",
"authorized_official_first_name": "DOMONIQUE",
"authorized_official_middle_name": "LASHAWN",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "586-843-7189",
"authorized_official_credential": "HOMECARE PROVIDER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "822715959",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822715959",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.