INTENTIONAL WELLNESS MEDSPA LLC
NPI 1154088052
Nurse Practitioner - Family in Burlington, MA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Intentional Wellness Medspa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Intentional Wellness Medspa LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Intentional Wellness Medspa LLC enrolled in Medicare?
Yes. Intentional Wellness Medspa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intentional Wellness Medspa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Intentional Wellness Medspa LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 20 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.
# Intentional Wellness Medspa Llc · NPI 1154088052
Family organization in Burlington, Massachusetts. Organization record, active in the CMS NPPES registry since November 26, 2021.
## Identity
- **NPI:** 1154088052 (Entity type: Organization)
- **Enumerated:** November 26, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Intentional Homecare LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** La-Keisha Milord, CEO
## Practice location
- **Address:** 99 CAMBRIDGE ST, Burlington, MA 01803-4115
- **Phone:** (781) 552-8438
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154088052) · Data from the CMS NPPES public registry.