Active NPI
Lacey M Stadler, BSW
- In Home Supportive Care Agency
- Owatonna, MN
National Provider Identifier
1831984749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 219 N Grove Ave
Owatonna, MN 55060-2415 - Phone
- (507) 291-4610
- NPI assigned
- Apr 11, 2025
- Last updated
- Apr 11, 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | ||
| Day Training/Habilitation Specialist | 373H00000X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | ||
| Behavior Analyst | 103K00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary | |
| Meals Provider | 174200000X | NU |
Addresses
Primary practice location
219 N Grove Ave
Owatonna, MN 55060-2415
Mailing address
219 N Grove Ave
Owatonna, MN 55060-2415
Phone (507) 291-4610
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": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1831984749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 N GROVE AVE",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602415",
"telephone_number": "507-291-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N GROVE AVE",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602415",
"telephone_number": "507-291-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADLER",
"first_name": "LACEY",
"middle_name": "M",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.