SUNCREST HOME HEALTH OF TAMPA, LLC (NPI# 1245872225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245872225 |
Entity Type | Organization |
Organization Name | SUNCREST HOME HEALTH OF TAMPA, LLC |
Other Organization Name | SUNCREST OMNI |
Practice Address |
311 Park Place Blvd Ste 120 Clearwater FL 33759-4904 |
Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
Practice Telephone | 7272606680 |
Practice Fax Number | 7274418311 |
Mailing Telephone | 3372331307 |
Enumeration Date | 2019-10-11 |
Last Update Date | 2020-06-22 |
Authorized Official Name | NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT) |
Authorized Official Telephone | 3372331307 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | Agencies | ||
Y | 253Z00000X | In Home Supportive Care | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 104652000 | 05 |
Other Name | Type Code |
---|---|
SunCrest OMNI | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992007561 | Suncrest Home Health of Tampa, LLC | Home Health | 1413 Tech Blvd Ste 126, Tampa, FL 33619-7822 | 2010-12-02 |
Street Address |
311 PARK PLACE BLVD STE 120 |
City | CLEARWATER |
State | FL |
Zip Code | 33759-4904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
Find all providers in zip 33759 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999544 | Js Home & Companion Care Inc | In Home Supportive Care | 1361 Terrace Rd, Clearwater, FL 33755-2059 | 2020-10-14 |
1710590625 | Faithfully Favoured Home Care and Companion Services | In Home Supportive Care | 2770 Roosevelt Blvd Apt 2151, Clearwater, FL 33760-2543 | 2020-08-28 |
1457984098 | Acti-kare | In Home Supportive Care | 2451 N Mcmullen Booth Rd Ste 228, Clearwater, FL 33759-1370 | 2020-02-21 |
1982237889 | Castle Healthcare, Inc | In Home Supportive Care | 14202 62nd St N, Clearwater, FL 33760-2717 | 2020-02-19 |
1912473075 | Concierge Care of Clearwater, LLC | In Home Supportive Care | 3000 Gulf To Bay Blvd Ste 203, Clearwater, FL 33759-4304 | 2018-10-16 |
1457877094 | Healthcare Alliance LLC | In Home Supportive Care | 13575 58 St N, Ste 178, Clearwater, FL 33760 | 2017-08-15 |
1316358542 | Best Care Providers, Inc | In Home Supportive Care | 1201 S Highland Ave Ste 2, Clearwater, FL 33756-4359 | 2014-05-09 |
1306287628 | A Tender Touch In Home Services | In Home Supportive Care | 2159 Nursery Rd #314, Clearwater, FL 33764 | 2013-07-15 |
1316246267 | Quality Life Coach, Inc | In Home Supportive Care | 2731 Via Capri, Unit 928, Clearwater, FL 33764 | 2011-03-17 |
1053619320 | Pinellas Professional Home Care,inc. | In Home Supportive Care | 2075 Dunston Cove Rd, Clearwater, FL 33755-1316 | 2011-03-10 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33759 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.