OMNI HOME HEALTH- HERNANDO, LLC (NPI# 1902835804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902835804 |
| Entity Type | Organization |
| Organization Name | OMNI HOME HEALTH- HERNANDO, LLC |
| Other Organization Name | SUNCREST OMNI |
| Practice Address |
700 Zeagler Dr Suite 6 Palatka FL 32177-6806 |
| Mailing Address |
510 Hospital Dr Suite 150 Madison TN 37115-5033 |
| Practice Telephone | 3863120646 |
| Practice Fax Number | 3863254460 |
| Mailing Telephone | 6156279267 |
| Mailing Fax Number | 6155770081 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | AMANDA MCFADDIN (DIRECTOR OF LICENSING/ACCREDITATION) |
| Authorized Official Telephone | 6157122250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 299992387 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004157005 | 05 |
| Other Name | Type Code |
|---|---|
| SunCrest OMNI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801838107 | Omni Home Health- Hernando, LLC | Home Health | 2229 N. Citrus Boulevard, Leesburg, FL 34748-3012 | 2006-06-12 |
| 1124075932 | Omni Home Health- Hernando, LLC | Home Health | 4045 Nw 43rd St, Suite B, Gainesville, FL 32606-4608 | 2006-05-27 |
| 1902853708 | Omni Home Health- Hernando, LLC | Home Health | 1037 W Us Highway 90, Suite 140, Lake City, FL 32055-3739 | 2006-05-27 |
| 1184669962 | Omni Home Health- Hernando, LLC | Home Health | 3200 Sw 34th Ave, Suite 301, Ocala, FL 34474-7456 | 2006-06-17 |
| Street Address |
700 ZEAGLER DR SUITE 6 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947290 | Michael John Maggitti | Orthopaedic Surgery | 700 Zeagler Dr, Suite 7, Palatka, FL 32177-6806 | 2006-01-19 |
| 1174068118 | Orlando Clinic for Asthma&respiratory Disease | Internal Medicine | 700 Zeagler Dr, Suite 6, Palatka, FL 32177-6806 | 2016-12-29 |
| 1750825311 | Orlando Clinic for Asthma&respiratory Disease | Internal Medicine | 700 Zeagler Dr, Ste 6, Palatka, FL 32177-6806 | 2016-12-15 |
| 1841697166 | Darrel W Wyatt Inc | Obstetrics & Gynecology | 700 Zeagler Dr, Suite 9, Palatka, FL 32177-6806 | 2014-12-02 |
| 1407110042 | Pulido Internal Medicine, LLC | Internal Medicine | 700 Zeagler Dr, Suite 1, Palatka, FL 32177-6806 | 2012-06-28 |
| 1780957944 | Putnam Physician Practices, LLC | Orthopaedic Surgery | 700 Zeagler Dr, Suite 7, Palatka, FL 32177-6806 | 2012-02-20 |
| 1023311727 | Ob & Gyn of N E Fl Pa | Obstetrics & Gynecology | 700 Zeagler Dr, Ste 3, Palatka, FL 32177-6806 | 2010-12-19 |
| 1023325784 | Housecall Home Health, LLC | Home Health | 700 Zeagler Dr, Suite 10, Palatka, FL 32177-6806 | 2010-09-01 |
| 1780814988 | Canaday and Jagedo Physician Associates Pl | Surgery | 700 Zeagler Dr, Suite 6, Palatka, FL 32177-6806 | 2009-07-22 |
| 1629218474 | Alex Michael Pulido | Internal Medicine | 700 Zeagler Dr, Ste 1, Palatka, FL 32177-6806 | 2009-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606540 | Ca'tina Scott | Home Health | 1607 Prospect St, Palatka, FL 32177-5936 | 2020-10-15 |
| 1770115842 | Brandon Kelly | Home Health | 5308 Pine Needle Cir # T173, Palatka, FL 32177-2375 | 2020-02-06 |
| 1043244742 | Gentiva Health Services (certified), Inc. | Home Health | 205 Zeagler Dr Ste 401, Palatka, FL 32177-3887 | 2006-07-10 |
| 1578077731 | Brooks Home Care Advantage, Inc. | Home Health | 3424 Saint Johns Ave, Palatka, FL 32177-4020 | 2017-11-27 |
| 1255671129 | Brooks Home Care Advantage, Inc | Home Health | 3424 Saint Johns Ave, Palatka, FL 32177-4020 | 2013-02-28 |
| 1023325784 | Housecall Home Health, LLC | Home Health | 700 Zeagler Dr, Suite 10, Palatka, FL 32177-6806 | 2010-09-01 |
| 1699821322 | Florida First Care, Inc. | Home Health | 800 Zeagler Dr, Suite 220, Palatka, FL 32177-3883 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649252 | The Bla Conglomeration LLC | Home Health | 560 Village Blvd Ste 120, West Palm Beach, FL 33409-1963 | 2020-11-06 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.