Suncrest Omni

LBN: Home Health Agency - Hillsborough, Llc
Suncrest Omni is an health care organization with primary practice located at 2000 E Edgewood Dr Suite 103, Lakeland FL 33803-3653. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Home Health Agency - Hillsborough, Llc can be contacted via phone (863) 667-3014, or through Mcfaddin, Amanad via phone (615) 712-2250.

Contact Information

Primary practice address
2000 E Edgewood Dr Suite 103 Lakeland FL 33803-3653
Phone: (863) 667-3014
Fax: (863) 667-3180
Website:
Map and Directions
Authorized official contact:
Name: Mcfaddin, Amanad
Phone: (615) 712-2250

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 299992056 Florida

Profile Details

NPI number 1972559797
LBN Legal business name Home Health Agency - Hillsborough, Llc
DBA Doing business as Suncrest Omni
Authorized official Mcfaddin, Amanad
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jun 8th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972559797 NPPES
Florida MEDICAID 004159202

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