Provider Demographics
NPI:1285230755
Name:FL HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:FL HEALTH SERVICES, INC
Other - Org Name:SHALOM HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position: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:720-338-3729
Mailing Address - Street 1:1200 S PARKER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7500
Mailing Address - Country:US
Mailing Address - Phone:720-338-3729
Mailing Address - Fax:
Practice Address - Street 1:1200 S PARKER RD STE 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7500
Practice Address - Country:US
Practice Address - Phone:720-338-3729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4720233337Medicaid