Individual provider Active NPI

Diana Schlaack, RN

  • In Home Supportive Care Agency
  • Owosso, MI
National Provider Identifier
1972258960
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
1905 W M 21 Ste B
Owosso, MI 48867-9317
Phone
(989) 720-4961
Fax
(989) 720-4951
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704298857 MI
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1905 W M 21 Ste B
Owosso, MI 48867-9317

Mailing address

1905 W M 21 Ste B
Owosso, MI 48867-9317
Phone (989) 720-4961

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704298857MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
His Way Home Care, LLC In Home Supportive Care CurrentSince Dec 17, 2023 Accepting new patients

Locations

1905 W M 21
#B
Owosso, MI 48867
Phone (989) 720-4961

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1972258960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W M 21 STE B",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679317",
            "telephone_number": "989-720-4961",
            "fax_number": "989-720-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W M 21 STE B",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679317",
            "telephone_number": "989-720-4961",
            "fax_number": "989-720-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAACK",
        "first_name": "DIANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704298857",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.