Aurora Home Care, Inc – Home Health Agency

Key facts

NPI: 1114168952
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
License: 03520501 (PA)
Legal business name: AURORA HOME CARE, INC
Practice address: 518 Bustleton Pike
Unitd
Feasterville Trevose, PA 19053-6052
Phone: (215) 354-4444
Fax: (215) 953-9943
NPI assigned: Mar 6, 2009
Organization subpart: No

Authorized official

Name: Ms. Lola Mananova
Title: Owner
Phone: (215) 354-4444

Owners & managing parties with NPI records 1

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

Ella Fleyshman, PT Specialist · Feasterville, PA · NPI 1639147515

CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · CORPORATE DIRECTOR · CORPORATE OFFICER

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Ella Fleyshman, PT Specialist · Feasterville, PA · NPI 1639147515

NPD (past)
Gennadiy Ivanov, M.D. Obstetrics & Gynecology Physician · Feasterville Trevose, PA · NPI 1861720815

NPD (past)

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Mikhail Losif Azrilevich, MD Internal Medicine Physician · Philadelphia, PA · NPI 1598749178

Care Compare affiliation Home health agency
Sergei V Chekov, MD Internal Medicine Physician · Philadelphia, PA · NPI 1265470306

Care Compare affiliation Home health agency
Yevgeniy Dyakovetsky Internal Medicine Physician · Richboro, PA · NPI 1215157987

Care Compare affiliation Home health agency
Meri Kryss, MD Internal Medicine Physician · Philadelphia, PA · NPI 1750499471

Care Compare affiliation Home health agency
Leonid Magidenko, MD Internal Medicine Physician · Feasterville Trevose, PA · NPI 1821052143

Care Compare affiliation Home health agency
Natalia Zakharova, CRNP Family Nurse Practitioner · Philadelphia, PA · NPI 1538872114

Care Compare affiliation Home health agency
Allen A Naygauzen, M.D. Internal Medicine Physician · Orlando, FL · NPI 1558775684

Care Compare affiliation Home health agency

Medicare Care Compare: Home health agency

Listed as: Aurora Home Care Inc CCN 398110
Overall star rating: ★★★★☆ 4 of 5
Ownership: Proprietary
Certified: Nov 10, 2009
Medicare certification status: Active (Provider of Services file)
Services: Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
39D2000656	Aurora Home Care Inc 518 Bustleton Pike, Feasterville, PA 19053	Certificate of waiver	Dec 2, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA

Home health agency certification: CCN 398110

Legal name: AURORA HOME CARE, INC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Nov 10, 2009
Last certification: Mar 18, 2016
Ownership / control type: Proprietary
Organization structure: Corporation · Proprietary
Incorporated: Sep 15, 2008 in PA
Enrollment address: 520 Bustleton Pike
Feasterville Trevose, PA 19053-6052

All disclosed owners & managing parties 3

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

Name	Role	Since	Share
Ella Fleyshman Individual	5% Or Greater Direct Ownership Interest Vice President	Mar 30, 2009	33.3%
	Corporate Officer Vice President	Sep 15, 2009
	Corporate Director Board Member	Sep 15, 2009
Lola Mananova Individual	5% Or Greater Direct Ownership Interest	Mar 30, 2009	33.3%
	Corporate Officer President	Sep 15, 2009
	Corporate Director Board Member	Sep 15, 2009
	Operational/Managerial Control Administrator	Sep 15, 2009
Leonard Zilbershteyn Individual	5% Or Greater Direct Ownership Interest	Mar 30, 2009	33.3%
	Corporate Officer Secretary	Sep 15, 2009
	Corporate Director Board Member	Sep 15, 2009

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20090528000243	PA	Part a Provider - Home Health Agency	7719036524	Practice locations: Feasterville Trevose, PA

National Provider Directory

Locations

518 Bustleton Pike
Ste D
Feasterville Trevose, PA 19053

520 Bustleton Pike
Fstrvl Trvose, PA 19053
Phone (215) 631-3873

1150 Berkshire Blvd
Ste 140
Wyomissing, PA 19610
Phone (610) 375-1800

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X	03520501	PA	Yes

Addresses

Primary practice location

518 Bustleton Pike
Unitd
Feasterville Trevose, PA 19053-6052

Mailing address

518 Bustleton Pike
Unitd
Feasterville Trevose, PA 19053-6052
Phone (215) 354-4444

Other providers in Feasterville Trevose, PA

All providers in Feasterville Trevose, PA · Home Health Agency in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.