Individual provider Active NPI

Michael Andrew Olesnavich

  • Personal Care Attendant
  • Birmingham, MI
National Provider Identifier
1720957210
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
1069 Smith Ave
Birmingham, MI 48009-4706
Phone
(248) 205-0748
Fax
(248) 737-1525
NPI assigned
Nov 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X MI Primary

Addresses

Primary practice location

1069 Smith Ave
Birmingham, MI 48009-4706

Mailing address

5725 Sutters LN
Bloomfield Hills, MI 48301-1059
Phone (248) 205-0748

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

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1720957210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 SUTTERS LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011059",
            "telephone_number": "248-205-0748",
            "fax_number": "248-737-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 SMITH AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480094706",
            "telephone_number": "248-205-0748",
            "fax_number": "248-737-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESNAVICH",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.