Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Lakes Adult Day Services, LLC

Hospice Registered Nurse in Livonia, MI · enumerated 2017 · authorized official Kenyatta Legette, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053835736

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Registry record

Entity type Organization (Type 2)

Legal business name Great Lakes Adult Day Services, LLC

Practice address 19194 Augusta Ct, Livonia, MI, 48152

Phone (313) 530-1161

Enumeration date Aug 3, 2017

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

163WC1500X Community Health Registered Nurse Nursing Service Providers Secondary

163WC2100X Continence Care Registered Nurse Nursing Service Providers Secondary

163WG0600X Gerontology Registered Nurse Nursing Service Providers Secondary

163WH1000X Hospice Registered Nurse Nursing Service Providers · License 4704275716 (MI) Primary

163WN1003X Nutrition Support Registered Nurse Nursing Service Providers Secondary

163WP0000X Pain Management Registered Nurse Nursing Service Providers Secondary

163WW0000X Wound Care Registered Nurse Nursing Service Providers · License 11091605 (WI) Secondary

251E00000X Home Health Agency Agencies Secondary

251J00000X Nursing Care Agency Agencies Secondary

252Y00000X Early Intervention Provider Agency Agencies Secondary

372500000X Chore Provider Nursing Service Related Providers Secondary

376K00000X Nurse's Aide Nursing Service Related Providers Secondary

385H00000X Respite Care Respite Care Facility Secondary

Authorized official

Name Kenyatta Legette

Title Administrator

Phone (313) 530-1161

Other identifiers

Identifier	Type	State	Issuer
8278228	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Great Lakes Adult Day Services, LLC?

Great Lakes Adult Day Services, LLC is registered in NPPES as a Hospice Registered Nurse (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.