TAYLOR MARIE NICKERSON NPI 1033048491

NPI Information

  • NPI: 1033048491
  • Provider Name: TAYLOR MARIE NICKERSON
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Individual
  • Address: 1266 N FORWARD RD
    LAKE CITY, MI
    ZIP 49651
  • Phone: (231) 920-8152

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NPI Details

Taylor Marie Nickerson is an adult care home custodial care facility in Lake City, MI. The provider is 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. Taylor Marie Nickerson NPI is 1033048491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1266 N FORWARD RD
LAKE CITY, MI
ZIP 49651-393
Phone: (231) 920-8152

The enumeration date for this NPI number is 5/13/2026 and was last updated on 5/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeAM570363712MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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