Eldorado Healthcare Management, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELDORADO HEALTHCARE MANAGEMENT, LLC

Doing business as

Eldorado Home Care Services

Practice address

325 Alpha Park
Highland HTS, OH 44143-2237

Phone

(217) 704-7337

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Zhanna Iskhakova

Title

Owner/Don

Phone

(216) 704-7337

Specialties & licenses 1

Addresses

Other names 1

• Eldorado Home Care Services Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841720570. Details of each certification follow.

• CCN 369239 Home health agency · Active · Details

Home health agency certification: CCN 369239

Legal name

ELDORADO HEALTHCARE MANAGEMENT, LLC

Doing business as

ELDORADO HOME CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 27, 2020

Last certification

Apr 27, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

5241 Wilson Mills Rd
Ste 25
Richmond Heights, OH 44143-2142

Listed as

Eldorado Home Care ServicesCCN 369239 · All quality measures

Ownership

Proprietary

Certified

Apr 27, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 1

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

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1841720570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 CORLISS RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241130",
            "telephone_number": "216-704-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ALPHA PARK",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441432237",
            "telephone_number": "217-704-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORADO HEALTHCARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOVA",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "OWNER/DON",
        "authorized_official_telephone_number": "216-704-7337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldorado Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Carter, M.A. CCC-SLP
• Daniel J Cavolo, D.P.M.
• Sara Dalley
• Carol A Dikovitsky, L.P.C., A.T.R.-B.C.
• Dr Irina Yarovitsky,DMD,LLC (Dental Essentials)
• Narine Epelbaum
• Georgene A Fanous, CNP
• David J. Fishman, M.D.
• Sandra Denise Fleming-Brooks, ANP
• Kara Lynn Forte-Sullen, CNP

• Home Health Agency in Highland HTS, OH
• Providers in Highland HTS, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.