Organization Active NPI

Home Care RN Inc

Doing business as Home Care RN

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1093148025
Registry record updated Aug 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04L189 Issued in CO
Legal business name
HOME CARE RN INC
Doing business as
Home Care RN
Practice address
1325 S Colorado Blvd # B101
Denver, CO 80222-3303
Phone
(720) 535-8652
Fax
(720) 535-9574
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2022

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

Authorized official

Name
Mr. Marat Geselkovich
Title
President
Phone
(720) 535-8652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04L189 CO Primary

Addresses

Primary practice location

1325 S Colorado Blvd # B101
Denver, CO 80222-3303

Mailing address

1325 S Colorado Blvd # B101
Denver, CO 80222-3303
Phone (720) 535-8652

Other names 1

  • HOME CARE RN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140206001292 CO Part A Provider - Home Health Agency 6103055447 Practice locations: Denver, CO

Home health agency certification: CCN 067524

Legal name
HOME CARE RN INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 14, 2014
Last certification
Jan 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 22, 2013 in CO
Enrollment address
1325 S Colorado Blvd
Ste B101
Denver, CO 80222-3303
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care RN IncCCN 067524 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jul 14, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Home Care RN2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2620 S Parker Rd
Ste 164
Aurora, CO 80014
Phone (720) 535-8652

1325 S Colorado Blvd
Ste B101
Denver, CO 80222
Phone (720) 535-8652

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tatyana Plotkin Individual 5% Or Greater Direct Ownership Interest Aug 5, 2023 31.25%
Oleg Gershman Individual 5% Or Greater Direct Ownership InterestCoo Feb 22, 2013 50%
Corporate OfficerCoo Feb 22, 2013
Corporate DirectorBoard Member Feb 22, 2013
Operational/Managerial ControlCoo Feb 22, 2013
Mark Geselkovich Individual 5% Or Greater Direct Ownership InterestCeo Feb 22, 2013 18.75%
Corporate OfficerCeo Feb 22, 2013
Corporate DirectorChairman of Board Feb 22, 2013
W-2 Managing EmployeeCeo Feb 22, 2013
Operational/Managerial ControlCeo Feb 22, 2013
Ella Rubstov Individual Corporate DirectorBoard Member Jun 1, 2013
W-2 Managing EmployeeClinical Director Jun 1, 2013
Operational/Managerial ControlClinical Director Jun 1, 2013

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661040000000",
    "number": "1093148025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD # B101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223303",
            "telephone_number": "720-535-8652",
            "fax_number": "720-535-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD # B101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223303",
            "telephone_number": "720-535-8652",
            "fax_number": "720-535-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE RN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "GESELKOVICH",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-535-8652",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04L189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME CARE RN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOME CARE RN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.