Aurora Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

17381601 Issued in PA

Legal business name

AURORA HOSPICE INC

Doing business as

Aurora Hospice

Practice address

524 Bustleton Pike
Feasterville Trevose, PA 19053-6069

Phone

(215) 396-8822

Fax

(215) 396-8447

NPI assigned

Dec 20, 2011

Last updated

Sep 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ella Fleyshman

Title

Bus Admin

Phone

(267) 242-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aurora Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689943763. Details of each certification follow.

• CCN 391738 Hospice · Active · Details

Hospice certification: CCN 391738

Legal name

AURORA HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 9, 2013

Last certification

Jul 9, 2013

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 6, 2010 in PA

Enrollment address

524 Bustleton Pike
Feasterville Trevose, PA 19053-6069

Listed as

Aurora Hospice, Inc.CCN 391738 · All quality measures

Ownership

For-Profit

Certified

Jul 9, 2013

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

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

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikhail Slobodskoi, PHYSICAL THERAPIST

  • Specialist
  • Feasterville, PA
  • NPI 1154301398
  NPD

Affiliated clinicians 7

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

• Hussein Qahtan Al Sudani, MD

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1285259606

  Hospice

  Care Compare affiliation
• Violetta Berdichevskaya, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1104882646

  Hospice

  Care Compare affiliation
• Sergei V Chekov, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1265470306

  Hospice

  Care Compare affiliation
• Jerry A Cohen, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Narberth, PA
  • NPI 1629015680

  Hospice

  Care Compare affiliation
• Yevgeniy Dyakovetsky

  • Internal Medicine Physician
  • Richboro, PA
  • NPI 1215157987

  Hospice

  Care Compare affiliation
• Michael B Rosen, MD

  • Family Medicine Physician
  • Penn Valley, PA
  • NPI 1285691659

  Hospice

  Care Compare affiliation
• Helen Volokhonsky, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1285675009

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1689943763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BUSTLETON PIKE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536069",
            "telephone_number": "215-396-8822",
            "fax_number": "215-396-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BUSTLETON PIKE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536069",
            "telephone_number": "215-396-8822",
            "fax_number": "215-396-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "FLEYSHMAN",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "BUS ADMIN",
        "authorized_official_telephone_number": "267-242-0077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "17381601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028776290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Antoine
• Erin Elizabeth Arbosheski, CRNP
• Arvind R. Cavale, M.D., L.L.C
• Ava Weinstein Atzram, LCSW
• Aurora Home Care, Inc
• Serguei Avakov, PT
• Babiner Dental PC
• Natalie Jean Baine, MSN, RN, CRNP
• Tajanae Baker, OTR/L
• Ronya Balogun, RPH, LAPC, MA

• Community Based Hospice Care Agency in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.

Verify at the official NPI Registry.