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

Q: What is Great Lakes Adult Day Services, LLC's NPI number?

The NPI number for Great Lakes Adult Day Services, LLC is 1053835736. It was assigned to this organization in the NPPES registry on August 3, 2017.

Q: What is Great Lakes Adult Day Services, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Hospice, with taxonomy code 163WH1000X.

Active since August 03, 2017

19194 AUGUSTA CT, LIVONIA, MI 48152(313) 530-1161 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 3, 2017 (2 updates tracked since 2017).

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About Great Lakes Adult Day Services, Llc NPPES

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

GREAT LAKES ADULT DAY SERVICES, LLC (NPI 1053835736) is a healthcare organization registered as a hospice in Livonia, Michigan and active in the NPI registry since August 2017. The organization lists Kenyatta Legette, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053835736

Entity TypeOrganization

Primary Taxonomy163WH1000X

Legal Business NameGREAT LAKES ADULT DAY SERVICES, LLC

Location Address19194 AUGUSTA CTLivonia, MI 48152-4016

Mailing Address19194 Augusta CtLivonia, MI 48152-4016

Phone(313) 530-1161

Organization SubpartNo

Authorized OfficialKenyatta LegetteAdministrator · (313) 530-1161

Enumeration DateAugust 3, 2017

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1053835736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyRegistered Nurse · HospiceNursing Service Providers

Taxonomy Code163WH1000X

License✔ Licensed in MI · 4704275716

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X

Also ListedRegistered Nurse · Continence CareTaxonomy 163WC2100X

Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X

Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X

Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 11091605 (WI)

Also ListedHome HealthTaxonomy 251E00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

Also ListedChore ProviderTaxonomy 372500000X

Also ListedNurse's AideTaxonomy 376K00000X

Also ListedRespite CareTaxonomy 385H00000X

19194 AUGUSTA CT, Livonia, MI 48152

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Other Identifiers 1

Medicaid8278228MI

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Adult Day Services, LLC's NPI number?

The NPI number for Great Lakes Adult Day Services, LLC is 1053835736. It was assigned to this organization in the NPPES registry on August 3, 2017.

Where is Great Lakes Adult Day Services, LLC located?

Great Lakes Adult Day Services, LLC is located at 19194 Augusta Ct, Livonia, MI 48152. The listed phone number is (313) 530-1161.

What is Great Lakes Adult Day Services, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Hospice, with taxonomy code 163WH1000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Adult Day Services, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.