Complete Health Network Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991637 Issued in FL

Legal business name

COMPLETE HEALTH NETWORK INC.

Practice address

12905 SW 42 Street Suite 222
Miami, FL 33175

Phone

(305) 805-7963

Fax

(305) 805-7964

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Liliana Busutil

Title

Administrator, Owner

Phone

(305) 805-7963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 108074

Legal name

COMPLETE HEALTH NETWORK, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 15, 2004

Last certification

May 5, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

12905 SW 42ND St
Ste 222
Miami, FL 33175-2933

Listed as

Complete Health Network IncCCN 108074

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jul 15, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Javier Busutil, DPT

  • Physical Therapist
  • Doral, FL
  • NPI 1386017580

  Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 4

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

• Carlos Navarro, NP-C

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1881147767

  Home health agency

  Care Compare affiliation
• Amanda Perez, M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1477762839

  Home health agency

  Care Compare affiliation
• Javier Ricardo, MD

  • General Practice Physician
  • Hialeah, FL
  • NPI 1770536690

  Home health agency

  Care Compare affiliation
• Mauricio Valido, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1467791061

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1477568228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 SW 42 STREET SUITE 222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-805-7963",
            "fax_number": "305-805-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 SW 42 STREET SUITE 222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-805-7963",
            "fax_number": "305-805-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTH NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "BUSUTIL",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR, OWNER",
        "authorized_official_telephone_number": "305-805-7963",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Miami, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.

Verify at the official NPI Registry.