Active NPI
Michelle Renee Lastovka
- Home Health Aide
- Olmsted TWP, OH
National Provider Identifier
1255226841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 1831209
- Practice address
- 27238 Bagley Rd
Olmsted TWP, OH 44138-1063 - Phone
- (440) 452-5641
- Fax
- (440) 452-5641
- NPI assigned
- Jun 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 1831209 | OH | Primary |
Addresses
Primary practice location
27238 Bagley Rd
Olmsted TWP, OH 44138-1063
Mailing address
27238 Bagley Rd
Olmsted TWP, OH 44138-1063
Phone (440) 452-5641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1831209 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1255226841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27238 BAGLEY RD",
"city": "OLMSTED TWP",
"state": "OH",
"postal_code": "441381063",
"telephone_number": "440-452-5641",
"fax_number": "440-452-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27238 BAGLEY RD",
"city": "OLMSTED TWP",
"state": "OH",
"postal_code": "441381063",
"telephone_number": "440-452-5641",
"fax_number": "440-452-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASTOVKA",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-12",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "OH",
"license": "1831209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olmsted TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.