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

NPI Status: Active since May 13, 2026

Contact Information

1266 N FORWARD RD
LAKE CITY, MI
ZIP 49651
Phone: (231) 920-8152

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  • Individual
  • Female
  • Custodial Care Facility
  • Adult Care Home

About TAYLOR NICKERSON

This page provides the complete NPI Profile along with additional information for Taylor Nickerson, a provider established in Lake City, Michigan with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1033048491 assigned on May 2026. The practitioner's primary taxonomy code is 311ZA0620X with license number AM570363712 (MI). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1033048491
Provider Name
TAYLOR MARIE NICKERSON
Gender
Female
Entity Type
Individual
Location Address
1266 N FORWARD RD LAKE CITY, MI 49651
Location Phone
(231) 920-8152
Mailing Address
1266 N FORWARD RD LAKE CITY, MI 49651
Mailing Phone
(231) 920-8152
Is Sole Proprietor?
No
Enumeration Date
05-13-2026
Last Update Date
05-13-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
AM570363712
License State
MI
Taxonomy Description
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033048491, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 0 → 0 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 0 + 4 + 1 + 6 + 4 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1033048491.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033048491, enumerated as an "individual" on May 13, 2026.

The provider is located at 1266 N FORWARD RD LAKE CITY, MI 49651 and the phone number is (231) 920-8152.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.