Organization Active NPI

FL Health Services, Inc

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1205201308
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04R482 Issued in CO
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

Updated by the provider on Dec 1, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 067560
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 11, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
FL Health Services Inc2 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

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.

NameRoleSinceShare
Faina Rozumovski Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2023 50%
Corporate OfficerPresident May 1, 2023
Corporate DirectorBoard Member May 1, 2023
W-2 Managing EmployeeAdministrator May 1, 2023
Zebi Mirsolieva Individual 5% Or Greater Direct Ownership InterestCo Owner May 1, 2023 50%
W-2 Managing EmployeeMD; 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

Verify at the official NPI Registry.