Organization Active NPI

Highlite of the Palm Beaches Inc

Doing business as Highlite Home Care

  • Home Health Agency
  • Delray Beach, FL
National Provider Identifier
1275856593
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIGHLITE OF THE PALM BEACHES INC
Doing business as
Highlite Home Care
Practice address
235 NE 6TH Ave
Suite C
Delray Beach, FL 33483-5543
Phone
(561) 450-6229
Fax
(561) 450-6230
NPI assigned
Mar 2, 2010
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Mr. Lee Johnson
Title
Director
Phone
(561) 809-5807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

235 NE 6TH Ave
Suite C
Delray Beach, FL 33483-5543

Mailing address

235 NE 6TH Ave
Suite C
Delray Beach, FL 33483-5543
Phone (561) 450-6229

Other names 1

  • Highlite Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000400 FL Part A Provider - Home Health Agency 0749450062 Practice locations: Delray Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275856593. Details of each certification follow.

Home health agency certification: CCN 109797

Legal name
HIGHLITE OF THE PALM BEACHES INC.
Doing business as
HIGHLITE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 16, 2012
Last certification
Jun 13, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 19, 2010 in FL
Enrollment address
235 NE 6TH Ave
Suite C
Delray Beach, FL 33483-5543

Care Compare: Home health agency

Medicare Care Compare
Listed as
Highlite Home CareCCN 109797 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Mar 16, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
10D2039236Highlite Home Care235 NE 6TH Ave Ste C, Delray Beach, FL 33483Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

235 NE 6th Ave
Ste C
Delray Beach, FL 33483
Phone (561) 450-6229

5150 Linton Blvd
Ste 410
Delray Beach, FL 33484
Phone (561) 450-6229

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Shawn P Koon Individual 5% Or Greater Direct Ownership InterestVP Jul 29, 2021 50%
Corporate Director Feb 1, 2011
W-2 Managing EmployeeAlt Administrator Feb 1, 2011
Maria F Freire Individual 5% Or Greater Direct Ownership InterestPresident Jul 29, 2021 50%
Corporate Director Jan 26, 2011

Practitioners & affiliated clinicians

Practitioners 2

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 5

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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1275856593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NE 6TH AVE",
            "address_2": "SUITE C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835543",
            "telephone_number": "561-450-6229",
            "fax_number": "561-450-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NE 6TH AVE",
            "address_2": "SUITE C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835543",
            "telephone_number": "561-450-6229",
            "fax_number": "561-450-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLITE OF THE PALM BEACHES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-809-5807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlite Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.