Northern Grace Home Support LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NORTHERN GRACE HOME SUPPORT LLC

Practice address

4891 Lakeshore Rd
Manistee, MI 49660-8974

Phone

(231) 655-1856

NPI assigned

Jul 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Olson

Title

Operations Manager

Phone

(231) 655-1856

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1053230474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 LAKESHORE RD",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608974",
            "telephone_number": "231-655-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 LAKESHORE RD",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608974",
            "telephone_number": "231-655-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN GRACE HOME SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "231-655-1856"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura-Jane C. Murphy, PSY.D.
• Gwendolyn A Nelson, PT,NCTMB,CLT
• Julia Nelson, MDIV, MS, LPC
• Rebecca Nickleson
• North Forest Family Practice, PLLC
• Northern Lights Radiology P C
• Northwest Michigan Health Services
• Northwest Michigan Health Services
• Northwest Michigan Health Services
• Northwest Michigan Health Services Inc.

• In Home Supportive Care Agency in Manistee, MI
• Providers in Manistee, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.