INTENTIONAL WELLNESS MEDSPA LLC
NPI 1154088052
Nurse Practitioner - Family in Burlington, MA

Q: What is Intentional Wellness Medspa LLC's NPI number?

The NPI number for Intentional Wellness Medspa LLC is 1154088052. It was assigned to this organization in the NPPES registry on November 26, 2021. The provider was formerly known as Intentional Homecare LLC.

Q: What is Intentional Wellness Medspa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 26, 2021

99 CAMBRIDGE ST, BURLINGTON, MA 01803(781) 552-8438 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2025, Nov 26, 2021 (2 updates tracked since 2021).

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About Intentional Wellness Medspa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTENTIONAL WELLNESS MEDSPA LLC (NPI 1154088052), doing business as Intentional Homecare Llc, is a healthcare organization registered as a family in Burlington, Massachusetts and active in the NPI registry since November 2021. The organization lists La-keisha Renee Milord, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154088052

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameINTENTIONAL WELLNESS MEDSPA LLC

Location Address99 CAMBRIDGE STBurlington, MA 01803-4115

Mailing Address3 Angela CirBurlington, MA 01803-3102 · (781) 552-8438

Phone(781) 552-8438

Organization SubpartNo

Authorized OfficialLa-keisha Renee MilordCeo · (781) 552-8438

Enumeration DateNovember 26, 2021

Last NPPES UpdateFebruary 9, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2025

✔ NPI 1154088052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

99 CAMBRIDGE ST, Burlington, MA 01803

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Other Names 1

Former Legal Business NameIntentional Homecare Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intentional Wellness Medspa LLC's NPI number?

The NPI number for Intentional Wellness Medspa LLC is 1154088052. It was assigned to this organization in the NPPES registry on November 26, 2021. The provider was formerly known as Intentional Homecare LLC.

Where is Intentional Wellness Medspa LLC located?

Intentional Wellness Medspa LLC is located at 99 Cambridge St, Burlington, MA 01803. The listed phone number is (781) 552-8438.

What is Intentional Wellness Medspa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Intentional Wellness Medspa LLC was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.