NPIMap

Organization Active NPI

Suncrest Healthcare of East Tennessee, LLC

Doing business as Beacon Home Health

  • Home Health Agency
  • Smithville, TN
National Provider Identifier
1003052697
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
60 Issued in TN
Legal business name
SUNCREST HEALTHCARE OF EAST TENNESSEE, LLC
Doing business as
Beacon Home Health
SunCrest Home Health
Practice address
117 E Bryant St Ste C
Smithville, TN 37166-2001
Phone
(615) 597-7777
Fax
(615) 597-7566
NPI assigned
Jan 2, 2009
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 60 TN Primary

Addresses

Primary practice location

117 E Bryant St Ste C
Smithville, TN 37166-2001

Mailing address

117 E Bryant St Ste C
Smithville, TN 37166-2001
Phone (615) 597-2067

Other practice location 1

417 N Chancery St
McMinnville, TN 37110-2049
Phone (931) 473-6100

Other practice location 2

115 Winwood Dr Ste 210
Lebanon, TN 37087-1399
Phone (615) 449-9482

Other practice location 3

1101 Neal St Ste 102
Cookeville, TN 38501-0917
Phone (931) 525-3511

Other identifiers 2

IdentifierTypeStateIssuer
0447176MedicaidTN
447176OtherMEDICARE PROVIDER NUMBER

Other names 2

  • Beacon Home Health Doing business as
  • SunCrest Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000146 TN Part A Provider - Home Health Agency 9537219555 Practice locations: Cookeville, TN; Smithville, TN; McMinnville, TN; Lebanon, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003052697. Details of each certification follow.

Home health agency certification: CCN 447176

Legal name
SUNCREST HEALTHCARE OF EAST TENNESSEE, LLC
Doing business as
SUNCREST HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 8, 1982
Last certification
May 25, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1101 Neal St
Ste 101
Cookeville, TN 38501-0917
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suncrest Home HealthCCN 447176 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 8, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0885422Suncrest Healthcare of East Tennessee LLC117 East Bryant Street, Suite C, Smithville, TN 37166Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory

Locations

1101 Neal St
Ste 101
Cookeville, TN 38501
Phone (931) 528-8593

1101 Neal St
Ste 102
Cookeville, TN 38501
Phone (931) 525-3511

1150 Perimeter Park Dr
#C
Cookeville, TN 38501
Phone (615) 597-7777

345 S Jefferson Ave
Ste 201
Cookeville, TN 38501
Phone (931) 525-3511

115 Winwood Dr
Ste 210
Lebanon, TN 37087
Phone (615) 449-9482

310 N Chancery St
McMinnville, TN 37110
Phone (731) 473-6100

417 N Chancery St
McMinnville, TN 37110
Phone (931) 473-6100

117 E Bryant St
Smithville, TN 37166
Phone (615) 597-2067

117 E Bryant St
#C
Smithville, TN 37166
Phone (615) 597-2067

117 E Bryant St
#D
Smithville, TN 37166
Phone (615) 597-2067

117C E Bryant St
Smithville, TN 37166
Phone (615) 597-7777

471 W Broad St
Smithville, TN 37166

451 Vista Dr
Ste 1
Sparta, TN 38583
Phone (615) 597-7777

7 Cook St
Sparta, TN 38583
Phone (931) 836-6255

7 Cook St
Ste D
Sparta, TN 38583
Phone (931) 836-6255

828 McMinnville Hwy
Woodbury, TN 37190
Phone (615) 563-8665

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Karen Ford Individual W-2 Managing EmployeeAdministrator / Director of Nursing Sep 1, 2022
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Omni Home Health Holdings Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 6, 2013 100%
Sun Crest Healthcare Inc Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Dec 19, 2008 100%

Facilities with the same owner 111

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1003052697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E BRYANT ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662001",
            "telephone_number": "615-597-2067",
            "fax_number": "615-597-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E BRYANT ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662001",
            "telephone_number": "615-597-7777",
            "fax_number": "615-597-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 N Chancery St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371102049",
            "country_code": "US",
            "telephone_number": "931-473-6100",
            "fax_number": "931-473-6105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Winwood Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370871399",
            "country_code": "US",
            "telephone_number": "615-449-9482",
            "fax_number": "615-449-9486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Neal St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385010917",
            "country_code": "US",
            "telephone_number": "931-525-3511",
            "fax_number": "931-525-3516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCREST HEALTHCARE OF EAST TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447176",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "447176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, TN

Sources for this page

Verify at the official NPI Registry.