Organization Active NPI

High Standard Broward Inc

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1053972927
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIGH STANDARD BROWARD INC
Practice address
11820 Miramar Pkwy Ste 211
Miramar, FL 33025-5817
Phone
(305) 271-6770
Fax
(305) 271-6631
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Mr. Leonardo Ayala
Title
President
Phone
(954) 251-1688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11820 Miramar Pkwy Ste 211
Miramar, FL 33025-5817

Mailing address

10689 N Kendall Dr Ste 310
Miami, FL 33176-1525
Phone (305) 271-6770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200327002762 FL Part A Provider - Home Health Agency 8820427743 Practice locations: Miramar, FL

Home health agency certification: CCN 687122

Legal name
HIGH STANDARD BROWARD INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 3, 2021
Last certification
Aug 10, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 15, 2019 in FL
Enrollment address
11820 Miramar Pkwy
Ste 211
Miramar, FL 33025-5817
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
High Standard Broward IncCCN 687122
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 3, 2021
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
10D2171642High Standard Broward Inc11820 Miramar Pkwy Unit 211, Miramar, FL 33025Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

10689 N Kendall Dr
Ste 310
Miami, FL 33176
Phone (305) 271-6770

11820 Miramar Pkwy
Ste 211
Miramar, FL 33025
Phone (305) 271-6770

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
Joaquin D Rodriguez Individual 5% Or Greater Direct Ownership InterestVice President Apr 15, 2019 33%
Corporate OfficerVice President Apr 15, 2019 33%
Leonardo Ayala Individual 5% Or Greater Direct Ownership InterestPresident Apr 15, 2019 34%
Corporate OfficerPresident Apr 15, 2019 34%
W-2 Managing EmployeePresident Apr 15, 2019 34%
Martha E Chamizo Individual 5% Or Greater Direct Ownership InterestVice President Apr 15, 2019 33%
Corporate OfficerVice President Apr 15, 2019 33%

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1053972927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10689 N KENDALL DR STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761525",
            "telephone_number": "305-271-6770",
            "fax_number": "305-271-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 MIRAMAR PKWY STE 211",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255817",
            "telephone_number": "305-271-6770",
            "fax_number": "305-271-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH STANDARD BROWARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-251-1688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.