NPIMap

Organization Active NPI

Prestige Home Care Services of Broward, Inc

  • Home Health Agency
  • Hollywood, FL
National Provider Identifier
1518045988
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992546 Issued in FL
Legal business name
PRESTIGE HOME CARE SERVICES OF BROWARD, INC
Practice address
2450 Hollywood Blvd
Suite 102
Hollywood, FL 33020
Phone
(954) 926-2595
Fax
(954) 926-6742
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Mr. Luis Lizarazo, ADMINISTRATOR
Title
Administrator
Phone
(954) 926-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992546 FL Primary

Addresses

Primary practice location

2450 Hollywood Blvd
Suite 102
Hollywood, FL 33020

Mailing address

2450 Hollywood Blvd
Suite 102
Hollywood, FL 33020
Phone (954) 926-2595

Other identifiers 1

IdentifierTypeStateIssuer
116408900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070810000100 FL Part A Provider - Home Health Agency 1153412770 Practice locations: Hollywood, FL

Home health agency certification: CCN 109016

Legal name
PRESTIGE HOME CARE SERVICES OF BROWARD, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 8, 2008
Last certification
Apr 11, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 28, 2003 in FL
Enrollment address
2450 Hollywood Blvd
Ste 102
Hollywood, FL 33020-6616

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prestige Home Care Services of Broward, Inc.CCN 109016 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 8, 2008
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
10D1062117Prestige Home Care Services of Broward Inc2450 Hollywood Blvd Ste 102, Hollywood, FL 33020Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2450 Hollywood Blvd
Ste 102
Hollywood, FL 33020
Phone (954) 926-2595

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

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
Larkin Home Health Services, Inc Organization, South Miami, FL Corporation 5% Or Greater Direct Ownership Interest Nov 1, 2015 100%
Luz Lizarazo Individual W-2 Managing EmployeeCase Manager & Field Supervisor May 1, 2015
Larkin Community Hospital Inc Organization, South Miami, FL Corporation 5% Or Greater Indirect Ownership Interest May 1, 2015 50.1%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1518045988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD",
            "address_2": "SUITE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-926-2595",
            "fax_number": "954-926-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD",
            "address_2": "SUITE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-926-2595",
            "fax_number": "954-926-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME CARE SERVICES OF BROWARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "LIZARAZO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-926-2595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116408900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.