Healthcare Provider Details

I. General information

NPI: 1891550828
Provider Name (Legal Business Name): AURORA SENIOR HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 INTERSTATE BLVD UNIT C
SARASOTA FL
34240-8926
US

IV. Provider business mailing address

405 INTERSTATE BLVD UNIT C
SARASOTA FL
34240-8926
US

V. Phone/Fax

Practice location:
  • Phone: 941-312-1633
  • Fax: 941-732-1658
Mailing address:
  • Phone: 941-312-1633
  • Fax: 941-732-1658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IRINA DANILOVA
Title or Position: OWNER
Credential: APRN
Phone: 941-312-1633