STACIA NICHOLE LARIVE
NPI 1497368187
Custodial Care Facility - Adult Care Home in Cadillac, MI

Q: What is Stacia Larive's NPI number?

The NPI number for Stacia Larive is 1497368187. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Q: What is Stacia Larive's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacia Larive was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 24, 2020

105 VINE ST, CADILLAC, MI 49601(231) 884-1988 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacia Nichole Larive NPPES

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

STACIA NICHOLE LARIVE (NPI 1497368187) is an individual adult care home provider in Cadillac, Michigan, licensed in Michigan (AF830403510) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1497368187

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameSTACIA NICHOLE LARIVE

Location Address105 VINE STCadillac, MI 49601-2435

Mailing Address105 Vine StCadillac, MI 49601-2435 · (231) 884-1988

Phone(231) 884-1988

Sole ProprietorYes

Enumeration DateAugust 24, 2020

NPPES CertifiedAugust 24, 2020

✔ NPI 1497368187 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 · AF830403510

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.

105 VINE ST, Cadillac, MI 49601

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA YONKMAN

Assisted Living Facility

105 VINE ST
CADILLAC, MI 49601

Wexford County (231) 468-3153

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 Stacia Larive's NPI number?

The NPI number for Stacia Larive is 1497368187. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Stacia Larive located?

Stacia Larive practices at 105 Vine St, Cadillac, MI 49601. The listed phone number is (231) 884-1988.

What is Stacia Larive'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 Stacia Larive was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.