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

Taylor Marie Nickerson

Individual provider Adult Care Home Facility · NPI 1033048491

Taylor Marie Nickerson is an Adult Care Home Facility in Lake City, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

1266 N Forward Rd
Lake City, MI 49651-9393
Phone: (231) 920-8152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence AM570363712 (MI)

Record details

NPI number1033048491
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address1266 N Forward Rd, Lake City, MI 49651-9393