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

Mr. Tyler Mark Ly

Individual provider Adult Care Home Facility · NPI 1487182960

Mr. Tyler Mark Ly is an Adult Care Home Facility in Rockford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
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Practice location Address checks out

5430 Polar Bear Ct NE
Rockford, MI 49341-7517
Phone: (616) 260-8194
Fax: (616) 883-6531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence AF410343519 (MI)

Record details

NPI number1487182960
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 30, 2017
Last updated in NPPESJuly 21, 2022

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