Active NPI
High Standard Broward Inc
- Home Health Agency
- Miramar, FL
National Provider Identifier
1053972927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Apr 15, 2019 in FL
- Enrollment address
- 11820 Miramar Pkwy
Ste 211
Miramar, FL 33025-5817
Care Compare: Home health agency
Medicare Care Compare- Listed as
- High Standard Broward Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 3, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2171642 | High Standard Broward Inc | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joaquin D Rodriguez | 5% Or Greater Direct Ownership Interest | Apr 15, 2019 | 33% |
| Corporate Officer | Apr 15, 2019 | 33% | |
| Leonardo Ayala | 5% Or Greater Direct Ownership Interest | Apr 15, 2019 | 34% |
| Corporate Officer | Apr 15, 2019 | 34% | |
| W-2 Managing Employee | Apr 15, 2019 | 34% | |
| Martha E Chamizo | 5% Or Greater Direct Ownership Interest | Apr 15, 2019 | 33% |
| Corporate Officer | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.