Organization Active NPI

Shifo Home Health Inc

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1801307111
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04S722 Issued in CO
Legal business name
SHIFO HOME HEALTH INC
Practice address
10700 E Bethany Dr Ste 201
Aurora, CO 80014-2680
Phone
(303) 484-9009
Fax
(303) 552-9146
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Shahnoz Yusufbekova, MBA
Title
Administrator
Phone
(303) 484-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04S722 CO Primary

Addresses

Primary practice location

10700 E Bethany Dr Ste 201
Aurora, CO 80014-2680

Mailing address

10700 E Bethany Dr Ste 201
Aurora, CO 80014-2680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180403000210 CO Part A Provider - Home Health Agency 3971865916 Practice locations: Aurora, CO

Home health agency certification: CCN 067572

Legal name
SHIFO HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 25, 2018
Last certification
Jun 9, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 8, 2017 in CO
Enrollment address
10700 E Bethany Dr
Ste 201
Aurora, CO 80014-2680

Care Compare: Home health agency

Medicare Care Compare
Listed as
Shifo Home Health IncCCN 067572
Ownership
Proprietary
Certified
Jul 25, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2142033Shifo Home Health, Inc10700 E Bethany Drive, Suite 201, Aurora, CO 80014Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory

Locations

10700 E Bethany Dr
Ste 201
Aurora, CO 80014
Phone (303) 484-9009

1642 S Parker Rd
Ste 301
Denver, CO 80231
Phone (303) 484-9009

Ownership & related parties

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.

NameRoleSinceShare
Dilovar Abdulloev Individual 5% Or Greater Direct Ownership Interest Aug 8, 2017 50%
Corporate OfficerCoo Aug 8, 2017
Corporate DirectorCoo Aug 8, 2017
W-2 Managing EmployeeCoo Aug 8, 2017
Shahnoz Yusufbekova Individual Contracted Managing EmployeeConsultant Nov 11, 2024
Dilrabo Asimova Individual 5% Or Greater Direct Ownership Interest Aug 8, 2017 50%
Corporate OfficerCeo Aug 8, 2017
Corporate DirectorCeo Aug 8, 2017
W-2 Managing EmployeeAd;Ceo Aug 8, 2017

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1801307111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 E BETHANY DR STE 201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E BETHANY DR STE 201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142680",
            "telephone_number": "303-484-9009",
            "fax_number": "303-552-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFO HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "YUSUFBEKOVA",
        "authorized_official_first_name": "SHAHNOZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-484-9009",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04S722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.