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TAYLOR MARIE NICKERSON
NPI 1033048491
Custodial Care Facility - Adult Care Home in Lake City, MI

Active since May 13, 2026
1266 N FORWARD RD, LAKE CITY, MI 49651(231) 920-8152 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taylor Marie Nickerson NPPES

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

TAYLOR MARIE NICKERSON (NPI 1033048491) is an individual adult care home provider in Lake City, Michigan, licensed in Michigan (AM570363712) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1033048491
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameTAYLOR MARIE NICKERSON
Location Address1266 N FORWARD RDLake City, MI 49651-9393
Mailing Address1266 N Forward RdLake City, MI 49651-9393 · (231) 920-8152
Phone(231) 920-8152
Sole ProprietorNo
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1033048491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MI · AM570363712
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1266 N FORWARD RD, Lake City, MI 49651
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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 Taylor Nickerson's NPI number?

The NPI number for Taylor Nickerson is 1033048491. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Taylor Nickerson located?

Taylor Nickerson practices at 1266 N Forward Rd, Lake City, MI 49651. The listed phone number is (231) 920-8152.

What is Taylor Nickerson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Taylor Nickerson was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.