Active NPI
FL Health Services, Inc
- Home Health Agency
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04R482
- Legal business name
- FL HEALTH SERVICES, INC
- Practice address
- 15057 E Colfax Ave
Unit C
Aurora, CO 80011-5736 - Phone
- (303) 667-7646
- NPI assigned
- Dec 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faina Rozumovski
- Title
- VP/Co-Owner
- Phone
- (303) 667-7646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 04R482 | CO | Primary |
Addresses
Primary practice location
15057 E Colfax Ave
Unit C
Aurora, CO 80011-5736
Mailing address
15057 E Colfax Ave
Unit C
Aurora, CO 80011-5736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160309001303 | CO | Part A Provider - Home Health Agency | 2062718547 | Practice locations: Denver, CO |
Home health agency certification: CCN 067560
- Legal name
- FL HEALTH SERVICES INC
- Doing business as
- SHALOM HOME HEALTH AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 11, 2017
- Last certification
- Jun 3, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 14, 2014 in CO
- Enrollment address
- 1200 S Parker Rd
Ste 102
Denver, CO 80231-7500
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Shalom Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 11, 2017
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- FL Health Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Denver, CO
- NPI 1285230755
Locations
15057 E Colfax Ave
Unit C
Aurora, CO 80011
Phone (303) 340-3898
1220 S Parker Rd
Ste 102E
Denver, CO 80231
Phone (303) 667-7646
1200 S Parker Rd
Ste 102
Denver, CO 80231
Phone (303) 940-2495
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Faina Rozumovski | 5% Or Greater Direct Ownership Interest | May 1, 2023 | 50% |
| Corporate Officer | May 1, 2023 | ||
| Corporate Director | May 1, 2023 | ||
| W-2 Managing Employee | May 1, 2023 | ||
| Zebi Mirsolieva | 5% Or Greater Direct Ownership Interest | May 1, 2023 | 50% |
| W-2 Managing Employee | May 1, 2023 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448928000000",
"number": "1205201308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15057 E COLFAX AVE",
"address_2": "UNIT C",
"city": "AURORA",
"state": "CO",
"postal_code": "800115736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15057 E COLFAX AVE",
"address_2": "UNIT C",
"city": "AURORA",
"state": "CO",
"postal_code": "800115736",
"telephone_number": "303-667-7646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FL HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A",
"authorized_official_last_name": "ROZUMOVSKI",
"authorized_official_first_name": "FAINA",
"authorized_official_title_or_position": "VP/CO-OWNER",
"authorized_official_telephone_number": "303-667-7646"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": "04R482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.