GREAT LAKES SUPPORT SERVICES
NPI 1023238417
Home Health in Traverse City, MI

Active since April 26, 2007
800 S GARFIELD AVE STE B, TRAVERSE CITY, MI 49686(231) 932-8457(231) 932-8457 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Great Lakes Support Services NPPES

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

GREAT LAKES SUPPORT SERVICES (NPI 1023238417) is a healthcare organization registered as a home health in Traverse City, Michigan and active in the NPI registry since April 2007. The organization lists Nickie Lashawn Grays, Owner, as its authorized official.

NPPES Registry Identity

NPI1023238417
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGREAT LAKES SUPPORT SERVICES
Location Address800 S GARFIELD AVE STE BTraverse City, MI 49686-3486
Mailing AddressPo Box 7153Traverse City, MI 49696-7153 · (231) 932-8457 · Fax (231) 932-8457
Fax(231) 932-8457
Organization SubpartNo
Authorized OfficialNickie Lashawn GraysOwner · (231) 932-8457
Enumeration DateApril 26, 2007
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPI 1023238417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
800 S GARFIELD AVE STE B, Traverse City, MI 49686

Other Names 1

Doing Business AsGreat Lakes Support Services

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 Great Lakes Support Services's NPI number?

The NPI number for Great Lakes Support Services is 1023238417. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Great Lakes Support Services located?

Great Lakes Support Services is located at 800 S Garfield Ave Ste B, Traverse City, MI 49686. The listed phone number is (231) 932-8457.

What is Great Lakes Support Services's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Support Services was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.