NPIMap

Organization Active NPI

Highlite Home Care, Inc.

  • Home Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1467478057
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIGHLITE HOME CARE, INC.
Practice address
5700 N Federal Hwy
#2
Ft Lauderdale, FL 33308-2600
Phone
(954) 492-2870
Fax
(954) 492-2871
NPI assigned
Jul 15, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Shawn P. Koon
Title
President
Phone
(954) 492-2870

Specialties & licenses 1

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

Addresses

Primary practice location

5700 N Federal Hwy
#2
Ft Lauderdale, FL 33308-2600

Mailing address

5700 N Federal Hwy
#2
Ft Lauderdale, FL 33308-2600
Phone (954) 492-2870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000287 FL Part A Provider - Home Health Agency 8820001225 Practice locations: Ft Lauderdale, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467478057. Details of each certification follow.

Home health agency certification: CCN 108372

Legal name
HIGHLITE HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2006
Last certification
Sep 7, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 4, 2005 in FL
Enrollment address
5700 N Federal Hwy
Ste 2
Ft Lauderdale, FL 33308-2600

Care Compare: Home health agency

Medicare Care Compare
Listed as
Highlite Home Care, Inc.CCN 108372 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 6, 2006
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
10D1044517Highlite Home Care Inc5700 N Federal Hwy Ste 2, Fort Lauderdale, FL 33308Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

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 Interest Aug 11, 2005 50%
W-2 Managing Employee Aug 11, 2005
Maria F Freire Individual 5% Or Greater Direct Ownership Interest Aug 11, 2005

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1467478057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "#2",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-492-2870",
            "fax_number": "954-492-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "#2",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-492-2870",
            "fax_number": "954-492-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLITE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "KOON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-492-2870"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.