Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Adult Day Services, LLC

Organization Community Health Registered Nurse · NPI 1053835736

Great Lakes Adult Day Services, LLC is a Community Health Registered Nurse in Livonia, Michigan. Licensed in Michigan and Wisconsin. Registered with an NPI since 2017.

Licensed in
MI, WI
In the registry since
2017
Specialties on file
13
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19194 Augusta Ct
Livonia, MI 48152-4016
Phone: (313) 530-1161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice Registered Nurse (primary) Taxonomy 163WH1000X · Licence 4704275716 (MI)
Community Health Registered Nurse Taxonomy 163WC1500X
Continence Care Registered Nurse Taxonomy 163WC2100X
Gerontology Registered Nurse Taxonomy 163WG0600X
Nutrition Support Registered Nurse Taxonomy 163WN1003X
Pain Management Registered Nurse Taxonomy 163WP0000X
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 11091605 (WI)
Home Health Agency Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
Chore Provider Taxonomy 372500000X
Nurse's Aide Taxonomy 376K00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1053835736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenyatta Legette — Administrator · (313) 530-1161
NPI enumeratedAugust 3, 2017
Last updated in NPPESSeptember 11, 2025
Mailing address19194 Augusta Ct, Livonia, MI 48152-4016

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