GREAT LAKES ADULT DAY SERVICES, LLC
NPI 1053835736
Registered Nurse - Hospice in Livonia, MI

NPI Status: Active since August 03, 2017

Contact Information

19194 AUGUSTA CT
LIVONIA, MI
ZIP 48152
Phone: (313) 530-1161

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  • Organization
  • Registered Nurse
  • Hospice

About GREAT LAKES ADULT DAY SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Great Lakes Adult Day Services, Llc, a provider established in Livonia, Michigan operating as a Registered Nurse, focusing in hospice . The healthcare provider is registered in the NPI registry with number 1053835736 assigned on August 2017. The practitioner's primary taxonomy code is 163WH1000X with license number 4704275716 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Great Lakes Adult Day Services, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kenyatta Legette Rn (Administrator)

NPI
1053835736
Provider Name
GREAT LAKES ADULT DAY SERVICES, LLC
Entity Type
Organization
Location Address
19194 AUGUSTA CT LIVONIA, MI 48152
Location Phone
(313) 530-1161
Mailing Address
19194 AUGUSTA CT LIVONIA, MI 48152
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2017
Last Update Date
09-11-2025
Code Navigator

A registered nurse (RN) like Great Lakes Adult Day Services, Llc coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

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

Registered Nurse Hospice

Taxonomy Code
163WH1000X
Type
Nursing Service Providers
License No.
4704275716
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WC1500XNursing Service Providers

Registered Nurse
Community Health

 
2163WC2100XNursing Service Providers

Registered Nurse
Continence Care

 
3163WG0600XNursing Service Providers

Registered Nurse
Gerontology

 
4163WN1003XNursing Service Providers

Registered Nurse
Nutrition Support

 
5163WP0000XNursing Service Providers

Registered Nurse
Pain Management

 
6163WW0000XNursing Service Providers

Registered Nurse
Wound Care

11091605 (WI)
7251E00000XAgencies

Home Health

 
8251J00000XAgencies

Nursing Care

 
9252Y00000XAgencies

Early Intervention Provider Agency

 
10372500000XNursing Service Related Providers

Chore Provider

 
11376K00000XNursing Service Related Providers

Nurse's Aide

 
12385H00000XRespite Care Facility

Respite Care

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENYATTA LEGETTE RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(313) 530-1161

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8278228MEDICAID (05)MI 

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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 1053835736, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 6 + 3 + 1 + 0 + 7 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053835736.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053835736, enumerated as an "organization" on August 03, 2017.

The provider is located at 19194 AUGUSTA CT LIVONIA, MI 48152 and the phone number is (313) 530-1161.

Registered Nurse with taxonomy code 163WH1000X and a focus in Hospice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.