OMNI HOME HEALTH- HERNANDO, LLC (NPI# 1902853708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902853708 |
| Entity Type | Organization |
| Organization Name | OMNI HOME HEALTH- HERNANDO, LLC |
| Other Organization Name | SUNCREST OMNI |
| Practice Address |
1037 W Us Highway 90 Suite 140 Lake City FL 32055-3739 |
| Mailing Address |
510 Hosptial Drive Suite 150 Madison TN 37115-5036 |
| Practice Telephone | 3867546671 |
| Practice Fax Number | 3867548673 |
| Mailing Telephone | 6156279267 |
| Mailing Fax Number | 6155770081 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-06-13 |
| 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 | 299991704 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004157002 | 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 |
| 1902835804 | Omni Home Health- Hernando, LLC | Home Health | 700 Zeagler Dr, Suite 6, Palatka, FL 32177-6806 | 2006-07-02 |
| 1184669962 | Omni Home Health- Hernando, LLC | Home Health | 3200 Sw 34th Ave, Suite 301, Ocala, FL 34474-7456 | 2006-06-17 |
| Street Address |
1037 W US HIGHWAY 90 SUITE 140 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| 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 |
|---|---|---|---|---|
| 1639777345 | Concierge Home Care of Lake City LLC | Home Health | 301 Nw Cole Ter Ste 105, Lake City, FL 32055-9302 | 2020-10-14 |
| 1699382549 | Grace and Mercy Home Health Lc | Home Health | 2370 Green Rd, Lake City, SC 29560-5483 | 2020-09-24 |
| 1659986610 | Andrea Graham | Home Health | 109 S Acline St, Lake City, SC 29560-2632 | 2020-09-15 |
| 1710537501 | All Quality Health Care Agency, LLC | Home Health | 119 N Mcallister St, Lake City, SC 29560-2421 | 2019-09-13 |
| 1003325580 | Missaukee County Commission On Aging | Home Health | 1980 S Morey Rd, Lake City, MI 49651-9380 | 2017-09-27 |
| 1821442021 | Cornerstone District 3 LLC | Home Health | 484 Sw Commerce Dr Ste 130, Lake City, FL 32025-1588 | 2016-04-14 |
| 1144584038 | Blue Lagoon Therapy & Services, LLC | Home Health | 2353 S Lachance Rd, Lake City, MI 49651-8024 | 2012-06-26 |
| 1740597400 | Housecall Home Health, LLC | Home Health | 461 Sw Main Blvd, Lake City, FL 32025-5268 | 2010-09-01 |
| 1427206481 | 3d Providers Corporation | Home Health | 144 Sw Waterford Ct, Suite 101, Lake City, FL 32025-0767 | 2008-09-03 |
| 1669406377 | Gentiva Health Services (certified), Inc. | Home Health | 419 Sw State Road 247 Ste 109, Lake City, FL 32025-8318 | 2006-07-10 |
| Find all providers in LAKE CITY | ||||
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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.