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Organization

Great Lakes Adult Day Services, LLC

NPI Record: ActiveRegistered Nurse — Hospice
NPI1053835736
Livonia, Michigan

Provider's NPPES record last updated: September 11, 2025

Overview

Entity Type
Organization
NPI
1053835736
Primary Specialty
Registered Nurse — Hospice
Practice Location
Livonia, Michigan
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:03 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Registered Nurse

    Hospice

    Nursing Service Providers

    Primary

    Definition to come...

    Taxonomy code 163WH1000X
  • Registered Nurse

    Community Health

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WC1500X
  • Registered Nurse

    Continence Care

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WC2100X
  • Registered Nurse

    Gerontology

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WG0600X
  • Registered Nurse

    Nutrition Support

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WN1003X
  • Registered Nurse

    Pain Management

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WP0000X
  • Registered Nurse

    Wound Care

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WW0000X
  • Home Health

    Agencies

    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

    Taxonomy code 251E00000X
  • Nursing Care

    Agencies

    A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

    Taxonomy code 251J00000X
  • Early Intervention Provider Agency

    Agencies

    Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

    Taxonomy code 252Y00000X
  • Chore Provider

    Nursing Service Related Providers

    An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

    Taxonomy code 372500000X
  • Nurse's Aide

    Nursing Service Related Providers

    (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

    Taxonomy code 376K00000X
  • Respite Care

    Respite Care Facility

    Definition to come.

    Taxonomy code 385H00000X

Provider-Reported License Information

Registered Nurse (Michigan)
4704275716
Registered Nurse (Wisconsin)
11091605
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

19194 Augusta Ct

Livonia, Michigan 48152-4016

Phone: (313) 530-1161

Record Information

Enumeration Date
August 3, 2017
Provider's NPPES Record Last Updated
September 11, 2025
NPISignal NPPES Dataset
August 2026

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