Organization Active NPI

Catholic Home Health Services of Broward Inc

Doing business as Catholic Home Health Services of Miami Dade County

  • Home Health Agency
  • Miami Lakes, FL
National Provider Identifier
1063492387
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA21233096 Issued in FL
Legal business name
CATHOLIC HOME HEALTH SERVICES OF BROWARD INC
Doing business as
Catholic Home Health Services of Miami Dade County
Practice address
14875 NW 77TH Ave Ste 201
Miami Lakes, FL 33014-2565
Phone
(305) 899-0400
Fax
(305) 899-0769
NPI assigned
Jan 20, 2006
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Carol Sonia Hylton, RN
Title
Administrator
Phone
(954) 486-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA21233096 FL Primary

Addresses

Primary practice location

14875 NW 77TH Ave Ste 201
Miami Lakes, FL 33014-2565

Mailing address

14875 NW 77TH Ave Ste 201
Miami Lakes, FL 33014-2565
Phone (305) 899-0400

Other identifiers 1

IdentifierTypeStateIssuer
650955000MedicaidFL

Other names 1

  • Catholic Home Health Services of Miami Dade County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231000349 FL Part A Provider - Home Health Agency 9537162755 Practice locations: Miami Lakes, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063492387. Details of each certification follow.

Home health agency certification: CCN 107670

Legal name
CATHOLIC HOME HEALTH SERVICES OF BROWARD INC
Doing business as
CATHOLIC HOME HEALTH SERVICES OF MIAMI DADE COUNTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2001
Last certification
Feb 7, 2019
Ownership / control type
Non-Profit
Most recent change of ownership
May 31, 2024
Organization structure
OtherNon-profit
Enrollment address
14875 NW 77TH Ave
Ste 201
Miami Lakes, FL 33014

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Catholic Home Health Services of Miami-Dade CountyCCN 107670 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Oct 17, 2001
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
10D0898730Catholic Home Health Services of Miami Dade Co14875 NW 77TH Ave Ste 201, Miami Lakes, FL 33014Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Catholic Home Health Services of Broward Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14875 NW 77th Ave
Ste 200
Miami Lakes, FL 33014

14875 NW 77th Ave
Ste 201
Miami Lakes, FL 33014
Phone (305) 351-7086

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patrick Taylor Individual Corporate DirectorBoard Member Jan 1, 2015
Catholic Health Services Inc Organization, Lauderdale Lakes, FL Management services company Operational/Managerial Control Oct 1, 2006 100%
Manuel Anton Individual Corporate DirectorBoard Member Jan 1, 2021
Victor Romano Individual Corporate DirectorBoard Member Jan 1, 2021
Archdiocese of Miami Inc Organization, Miami Shores, FL Corporation 5% Or Greater Indirect Ownership Interest Jun 23, 1988 100%
Mary Frick Individual Corporate OfficerPoresident/Chief Executive Offic Apr 5, 2024
Corporate DirectorPresident/Ceo Apr 5, 2024 100%
Ralph Lawson Individual Corporate DirectorBoard Member Jan 1, 1990
Elizabeth Worley Individual Corporate OfficerVice Chair Secretary Apr 1, 2011 100%
Corporate DirectorVice Chair Secretary Apr 1, 2011 100%
John Farrey Individual Corporate DirectorBoard Member Jan 1, 2002
Julie Staub Individual Corporate DirectorBoard Member Jan 1, 2022
John W Farah Individual Corporate OfficerBoard Member Jan 1, 2002
Carol Francis-Hylton Individual W-2 Managing EmployeeExecutive Director of Home and Comm May 31, 2024 100%
Christopher Catallo Individual Corporate DirectorBoard Member Jan 1, 2015

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 2

DateEventCounterparty
May 31, 2024 Change of OwnershipThis provider was the buyer Catholic Home Health Services of Miami-Dade CountyCCN 107670, FL, NPI 1063492387
May 31, 2024 Change of OwnershipThis provider was the seller Catholic Home Health Services of Miami Dade CountyCCN 107670, FL, NPI 1063492387

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1063492387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14875 NW 77TH AVE STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142565",
            "telephone_number": "305-899-0400",
            "fax_number": "305-899-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14875 NW 77TH AVE STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142565",
            "telephone_number": "305-899-0400",
            "fax_number": "305-899-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HOME HEALTH SERVICES OF BROWARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "HYLTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-486-3660",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA21233096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650955000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Home Health Services of Miami Dade County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Home Health Services of Miami Dade County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.