Provider Demographics
NPI:1205201308
Name:FL HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:FL HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZUMOVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-667-7646
Mailing Address - Street 1:15057 E COLFAX AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-5736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15057 E COLFAX AVE
Practice Address - Street 2:UNIT C
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5736
Practice Address - Country:US
Practice Address - Phone:303-667-7646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04R482251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health